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20192020 Student Health Benefit Plan OPT International Student Enrollment and Change Form A. Primary Member Information Name (surname, first, middle initial) (please print)Street addressable of birth
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SHBP OPT international student refers to the Student Health Benefits Plan Optional Practical Training for international students.
International students who are on Optional Practical Training (OPT) are required to file SHBP OPT.
You can fill out SHBP OPT by providing the required information on the designated form and submitting it according to the instructions provided.
The purpose of SHBP OPT for international students is to ensure they have health insurance coverage while on optional practical training.
Information such as personal details, insurance coverage details, and OPT status must be reported on SHBP OPT.
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