Get the free HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM

This form is used for students at Humboldt State University to enroll in the student health insurance plan, including options for dependents, payment information, and eligibility certification.

How to fill out humboldt state university student

How to fill out HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM

1. Obtain the HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM from the university's website or student services office.
2. Fill out your personal information, including your full name, date of birth, student ID number, and contact information.
3. Indicate your enrollment status by selecting whether you are a full-time or part-time student.
4. Provide your emergency contact information, including the name and phone number of a person to be contacted in case of an emergency.
5. Complete the section regarding your current insurance coverage, if applicable, by checking the appropriate box and providing the necessary details.
6. Review any additional sections that may apply, such as selecting coverage options or providing details about dependents, if applicable.
7. Sign and date the form to certify that the information provided is accurate.
8. Submit the completed form as instructed, either via online submission or in person at the designated university office.

Who needs HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM?

1. All students enrolled at HUMBOLDT STATE UNIVERSITY who require health insurance coverage.
2. New students who are registering for classes and need to obtain insurance.
3. Students who do not have existing health insurance or need additional coverage while studying at the university.
4. International students who are mandated to have insurance as part of their enrollment requirements.

For pdfFiller’s FAQs

What is HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM?

The HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM is a document that students at Humboldt State University must complete to enroll in the university's health insurance plan.

Who is required to file HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM?

All students enrolled at Humboldt State University who wish to obtain health insurance coverage provided by the university are required to file the HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM.

How to fill out HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM?

To fill out the HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM, students should gather their personal and insurance information, fill out each section of the form accurately, and submit it by the specified deadline.

What is the purpose of HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM?

The purpose of the HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM is to facilitate the enrollment process for students seeking health insurance coverage through the university's plan, ensuring they have access to necessary medical services.

What information must be reported on HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM?

The information that must be reported on the HUMBOLDT STATE UNIVERSITY STUDENT INSURANCE ENROLLMENT FORM includes the student's personal details, contact information, student ID, and any relevant insurance details if the student has prior coverage.