Form preview

Get the free Aetna Student Health Enrollment Form - umsl

Get Form
This document is an enrollment form for Aetna Student Health insurance specifically for OPT students and their dependents at the University of Missouri-St. Louis for the academic year 2011/2012.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign aetna student health enrollment

Edit
Edit your aetna student health enrollment 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 aetna student health enrollment form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit aetna student health enrollment online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Check your account. In case you're new, it's time to start your free trial.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit aetna student health enrollment. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

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 aetna student health enrollment

Illustration

How to fill out Aetna Student Health Enrollment Form

01
Download the Aetna Student Health Enrollment Form from the Aetna website or your institution's health services page.
02
Fill in your personal information, including your full name, student ID number, and contact details.
03
Provide your date of birth and any required demographic information.
04
Indicate your enrollment status (full-time or part-time) and the academic year.
05
Review the section regarding plan options and select the coverage that best suits your needs.
06
If applicable, add any dependents that you wish to cover under your plan.
07
Check the box to agree to the terms and conditions of the insurance plan.
08
Sign and date the form to confirm that the information provided is accurate.
09
Submit the completed form to your institution's health services office or Aetna as directed.

Who needs Aetna Student Health Enrollment Form?

01
Students enrolled in a college or university who wish to have health insurance coverage.
02
International students who are required to have health insurance while studying abroad.
03
Students participating in specific programs that mandate health insurance enrollment.
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
56 Votes

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 Aetna Student Health Enrollment Form is a document used by students to enroll in Aetna's health insurance plan specifically designed for students.
Students who wish to obtain Aetna health insurance coverage or continue their current plan are required to file the Aetna Student Health Enrollment Form.
To fill out the Aetna Student Health Enrollment Form, students should provide personal information such as their name, date of birth, school identification number, and any other required details as instructed on the form.
The purpose of the Aetna Student Health Enrollment Form is to gather necessary information from students to ensure they are enrolled in the appropriate health insurance coverage and to facilitate access to health services.
The information that must be reported on the Aetna Student Health Enrollment Form includes personal identification details, contact information, and any prior health insurance coverage information.
Fill out your aetna student health enrollment 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.