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20192020Dartmouth Student Group Health Plan (DSG HP) Midyear Enrollment Dartmouth Student Group Health Plan Mailing Address: Physical Address: 7 Rope Ferry Rd, HE# 6143 37 Dewey Field Rd, RMS 403
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How to fill out mid year enrollment

01
Obtain the mid-year enrollment form from the school or educational institution.
02
Fill out your personal details such as your name, address, contact information, and date of birth.
03
Provide necessary information about your previous school and education, including the name of the school, the grade level you were in, and any applicable transcripts or report cards.
04
Indicate the reason for your mid-year enrollment, whether it is due to relocation, transfer, or other circumstances.
05
If required, include any additional documentation or forms as instructed by the school.
06
Review the completed form for accuracy and make any necessary corrections.
07
Sign and date the form.
08
Submit the filled-out mid-year enrollment form and any accompanying documents to the school's admissions office.

Who needs mid year enrollment?

01
Mid-year enrollment is typically needed by students who are joining a school or educational institution during the academic year after it has already begun.
02
This can include students who have moved to a new area, transferred from another school, or had circumstances that required them to change schools.
03
Mid-year enrollment allows these students to join the new school and continue their education without significant interruption.
04
It is also beneficial for students who may have missed the initial enrollment period or were unable to start school at the beginning of the academic year.
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Mid year enrollment is the process of enrolling in a program or making changes to existing enrollment outside of the regular enrollment period.
Individuals who experience a qualifying life event, such as getting married, having a baby, or losing health coverage, are required to file mid year enrollment.
Mid year enrollment can typically be filled out online through the healthcare marketplace or by contacting your employer's HR department.
The purpose of mid year enrollment is to allow individuals to make changes to their healthcare coverage outside of the regular enrollment period due to qualifying life events.
Information such as changes in household size, income, and employment status must be reported on mid year enrollment.
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