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Mail this enrollment card along with premium payment to UnitedHealthcare StudentResources PO Box 809026 Dallas TX 75380-9026. 00 4 152. 00 6 228. 00 EFFECTIVE/EXPIRATION PERIODS 8/1/2016 to 7/31/2017 Fall Spring/Summer 1/1/2017 to 7/31/2017 Summer Fall F- 870. By signing the student acknowledges the following 1 He/She has carefully read the brochure and elects to enroll as indicated on this enrollment card 2 Rates are not pro-rated other than as listed on this enrollment card 3 He/She...
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