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UNIVERSITY OF COLORADO AT BOULDER UnitedHealthcare INSURANCE COMPANY CONTINUATION STUDENT INSURANCE ENROLLMENT CARD 201040051 (PLEASE PRINT) Students Name / / Last First MI Male Female Permanent US
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How to fill out continuation student insurance enrollment

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How to fill out continuation student insurance enrollment:

01
Begin by gathering all the necessary documents and information. This may include your personal identification details, current insurance information, and any relevant medical history.
02
Access the enrollment form, which is typically available on the insurance provider's website or can be obtained from the educational institution's administration office.
03
Carefully read through the instructions and ensure that you understand the requirements and deadlines for enrollment.
04
Start by providing basic personal information, such as your full name, date of birth, address, and contact details. Fill in each section accurately and double-check for any errors before proceeding.
05
Proceed to provide details about your current insurance coverage, if applicable. Include the name of the insurance company, policy number, and expiration date. If you are not currently insured, indicate this on the form.
06
Fill out any information related to your educational institution, such as the name of the school, program or course details, and student identification number.
07
Carefully review the form once again to ensure all required sections are completed accurately. It is crucial to provide honest and truthful information to avoid any issues or complications later.
08
If needed, attach any supporting documents requested in the enrollment form. This may include a copy of your current insurance card, proof of enrollment in the educational institution, or any medical history records.
09
Once you have completed the form and attached any necessary documents, submit the enrollment form as instructed. This may involve mailing the form or submitting it online through a secure portal.
10
After submitting the enrollment form, it is recommended to keep a copy for your records. This will serve as proof of enrollment and ensure that you have all the necessary information readily available.

Who needs continuation student insurance enrollment?

01
Students who are transitioning from one educational institution to another may require continuation student insurance enrollment. This includes students who have recently graduated from high school and plan to attend college or university.
02
Individuals who are switching from one educational program or course to another within the same institution may also need to complete continuation student insurance enrollment.
03
Students who previously had insurance coverage through their educational institution but need to continue their coverage beyond a specified period, such as after graduation, may be required to enroll in continuation student insurance. This ensures uninterrupted insurance coverage for medical expenses and other healthcare needs.
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Continuation student insurance enrollment allows students to extend their health insurance coverage through their university or college even after their enrollment has ended.
Students who want to continue their health insurance coverage through their university or college after their enrollment has ended are required to file continuation student insurance enrollment.
To fill out continuation student insurance enrollment, students typically need to follow the instructions provided by their university or college and provide any required documentation or information.
The purpose of continuation student insurance enrollment is to allow students to maintain health insurance coverage through their university or college even after their enrollment has ended.
Typically, students need to report their personal information, contact details, insurance information, and any other relevant details required by their university or college for continuation student insurance enrollment.
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