Form preview

Get the free UC IRVINE VOLUNTARY GRADUATE AND MEDICAL STUDENT HEALTH INSURANCE PLAN - shc uci

Get Form
This document serves as the enrollment form for students to enroll in the UC Irvine Voluntary Graduate and Medical Student Health Insurance Plan for the 2011-2012 academic year, including options
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign uc irvine voluntary graduate

Edit
Edit your uc irvine voluntary graduate form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your uc irvine voluntary graduate form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing uc irvine voluntary graduate online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
In order to make advantage of the professional PDF editor, follow these steps:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit uc irvine voluntary graduate. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out uc irvine voluntary graduate

Illustration

How to fill out UC IRVINE VOLUNTARY GRADUATE AND MEDICAL STUDENT HEALTH INSURANCE PLAN

01
Visit the UC Irvine health insurance website.
02
Download the UC Irvine Voluntary Graduate and Medical Student Health Insurance Plan enrollment form.
03
Fill in personal information such as name, student ID, and contact details.
04
Provide details of your program and expected graduation date.
05
Select the coverage period you wish to enroll for.
06
Review the premium costs and ensure you are aware of payment methods.
07
Sign and date the form to confirm your application.
08
Submit the completed form to the designated office or online portal before the deadline.

Who needs UC IRVINE VOLUNTARY GRADUATE AND MEDICAL STUDENT HEALTH INSURANCE PLAN?

01
Graduate and medical students who are not covered by another health insurance plan.
02
Students who want to have access to comprehensive health care services.
03
Individuals who require health insurance for visa purposes.
04
Students involved in specific programs or internships that require health insurance.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
27 Votes

People Also Ask about

To waive out of UC SHIP, you must submit a request on-line during the open waiver periods and by the posted deadlines as shown below. If approved, the waiver is in effect for the current term and the remainder of the academic year. A new waiver request must be submitted at the beginning of each academic year.
UCLA's insurance plan costs up to $6,632 a year. Alternatively, health coverage for international students can be as low as $1,289 a year. An insurance waiver is an application to switch your plan that better fits your needs.
2024-25 Academic Year Per TermAnnual Undergraduate Students (Quarter) $1,213 $3,639 Graduate Students (Quarter) $2,482 $7,446 Law / Veterinary Students (Semester) $3,723 $7,446 Jun 17, 2025
This year, UCI's insurance plan costs up to $6,842 a year. Alternatively, health coverage for international students can be as low as $1,313 a year. An insurance waiver is an application to opt out of the school-provided plan and go with the plan that better fits your needs.
As medical insurance is mandatory for all UC students, you will be automatically enrolled in UC SHIP upon registration. However, there are specific waiver criteria that, if met, allow you to opt-out of the coverage.
Academic Year 2024-2025 CoverageCost Student + Dependent > 18 or Spouse $4,854 Student + 2 or more Dependents < 18 $6,413 Student + Spouse + Dependent < 18 $6,847 Student + 2 or more Dependents > 18 $7,2814 more rows
Unemployment Compensation Insurance. Unemployment Compensation Insurance (UCI) is an employer-paid insurance program to assist workers who are unemployed through no fault of their own. It provides temporary financial assistance to qualified individuals while they search for other work.
Undergraduates are automatically enrolled in the UC Student Health Insurance Plan (UC SHIP) unless they waive the coverage. The cost of coverage through UC SHIP will be included as part of your Student Services Fees. You'll receive more information about UC SHIP with your first BruinBill.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The UC Irvine Voluntary Graduate and Medical Student Health Insurance Plan is a health insurance program designed to provide medical coverage for graduate and medical students enrolled at UC Irvine. It offers a range of health services to ensure students have access to necessary medical care during their time in school.
Graduate and medical students who choose to participate in the plan must file for it. While it is voluntary, it is recommended for those without adequate alternative health coverage.
To fill out the UC Irvine Voluntary Graduate and Medical Student Health Insurance Plan, students need to complete the enrollment form provided by the university, include necessary documentation, and submit it by the specified deadline. Detailed instructions are available on the university's health insurance website.
The purpose of the UC Irvine Voluntary Graduate and Medical Student Health Insurance Plan is to offer comprehensive health coverage to students, ensuring they have access to medical care and support during their studies, and to promote overall health and wellness within the student community.
Information that must be reported on the UC Irvine Voluntary Graduate and Medical Student Health Insurance Plan includes personal identification data, proof of prior health coverage (if applicable), and any specific health information requested during the enrollment process.
Fill out your uc irvine voluntary graduate online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.