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University of California Irvine Nationwide Life Insurance Company policy number 302-135-0413 2015 2016 Undergraduate Student Health Insurance Plan (SHIP) 1. ENTER STUDENT INFORMATION: STUDENT S LAST
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Start by gathering all relevant personal information such as your full name, date of birth, and student ID number.
02
Read through the health form carefully and make sure you understand all the questions and instructions.
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Provide accurate and up-to-date information for each section of the form, including your medical history, current medications, and any known allergies.
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Submit the completed form according to the instructions provided by your educational institution.

Who needs 20152016 undergraduate student health:

01
All undergraduate students who were enrolled in the academic year 2015-2016 are required to fill out the undergraduate student health form.
02
This form is necessary to ensure that students have access to proper healthcare services and to assess any potential health risks on campus.
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Filling out the undergraduate student health form is essential for both the well-being of the individual student and the overall community of the educational institution.
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The 20152016 undergraduate student health is a form that students need to fill out to report their health insurance coverage.
All undergraduate students for the 20152016 academic year are required to file the student health form.
To fill out the 20152016 undergraduate student health form, students need to provide information about their health insurance coverage and answer any health-related questions on the form.
The purpose of the 20152016 undergraduate student health form is to ensure that students have the necessary health insurance coverage while enrolled in the university.
Students must report their health insurance information, any pre-existing health conditions, and provide emergency contact information on the 20152016 undergraduate student health form.
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