Get the free 2013/2014 Fall Continuation Enrollment Form – Aetna Student Health

This document is intended for students at the Polytechnic Institute of NYU to enroll in the Aetna Student Health insurance plan after eligibility has expired, including necessary information for dependents

How to fill out 20132014 fall continuation enrollment

How to fill out 2013/2014 Fall Continuation Enrollment Form – Aetna Student Health

1. Obtain the 2013/2014 Fall Continuation Enrollment Form from Aetna Student Health's website or your school’s office.
2. Fill in your personal information including your name, student ID, and contact details in the designated sections.
3. Indicate your current enrollment status and the term you are applying for (Fall 2013/2014).
4. Review the health insurance plan options and select the one that suits your needs.
5. Provide any additional information or documentation required, such as proof of enrollment or previous coverage.
6. Sign and date the form to verify that all information provided is accurate.
7. Submit the completed form via the method specified (mail, email, or online submission) before the deadline.

Who needs 2013/2014 Fall Continuation Enrollment Form – Aetna Student Health?

1. Students who are currently enrolled in Aetna Student Health and wish to continue their coverage for the Fall 2013/2014 term.
2. Students who have recently changed their enrollment status or need to update their insurance information.
3. Any new or returning students who want to ensure they have health insurance coverage while attending school.

For pdfFiller’s FAQs

What is 2013/2014 Fall Continuation Enrollment Form – Aetna Student Health?

The 2013/2014 Fall Continuation Enrollment Form – Aetna Student Health is a document that allows students to maintain their health insurance coverage through Aetna Health during the fall semester.

Who is required to file 2013/2014 Fall Continuation Enrollment Form – Aetna Student Health?

Students who wish to continue their health insurance coverage under Aetna Student Health for the fall semester are required to file the form.

How to fill out 2013/2014 Fall Continuation Enrollment Form – Aetna Student Health?

To fill out the form, students must provide personal information, including their name, student ID, contact details, and any necessary health information as outlined in the form instructions.

What is the purpose of 2013/2014 Fall Continuation Enrollment Form – Aetna Student Health?

The purpose of the form is to ensure that students maintain their health insurance coverage for the fall semester, allowing for uninterrupted access to medical services.

What information must be reported on 2013/2014 Fall Continuation Enrollment Form – Aetna Student Health?

The form must report personal identification information, including student ID, date of birth, contact information, and any applicable health details required for enrollment.