Get the free 2012–2013 Student Health Insurance Enrollment Form

This form is used for domestic undergraduate and graduate students, as well as their dependents, to enroll in the student health insurance plan provided by Blue Cross and Blue Shield of Texas for

How to fill out 20122013 student health insurance

How to fill out 2012–2013 Student Health Insurance Enrollment Form

1. Obtain the 2012–2013 Student Health Insurance Enrollment Form from your school's website or administration office.
2. Fill out your personal information in the designated fields, including your full name, student ID, and contact information.
3. Indicate your enrollment status (full-time or part-time) and select the appropriate academic term.
4. Provide information about your primary address, including city and state.
5. Choose your desired health insurance plan from the options provided.
6. Complete any required sections regarding dependents, if applicable.
7. Sign and date the form to certify that all information is accurate.
8. Submit the completed form by the deadline specified by your institution, either electronically or in person.

Who needs 2012–2013 Student Health Insurance Enrollment Form?

1. Any student enrolled at a college or university who is required to have health insurance coverage.
2. Students who are not covered by an existing health insurance plan may also need to fill out this form.
3. International students who need to enroll in a health insurance plan as part of their visa requirements.
4. Students participating in athletic programs or other activities that mandate health insurance coverage.

People Also Ask about

Can I drop my 17 year old from my health insurance?

You can stay on a parent's plan until you turn 26 Once you're on a parent's job-based plan, in most cases you can stay on it until you turn 26. Generally, you can join a parent's plan and stay on until you turn 26 even if you: Get married.

Does UT Austin provide health insurance for students?

The Student Health Insurance Plan is an optional University of Texas System sponsored health insurance plan available to currently enrolled University of Texas at Austin students. Information is available online, or by going to the University Health Services Billing and Insurance Office (SSB 2.106).

Does UT offer health insurance?

Information and enrollment is available online. The Student Health Insurance Plan pays 100% for all covered services at University Health Services and includes in- and- out-of-network benefits for off-campus providers and facilities (deductibles, co-pays and/or coinsurance may apply for off-campus services).

Does Texas A&M offer health insurance?

The Texas A&M University System Student Health Insurance Plan (SHIP) is automatically charged to an international student's tuition and fee statement. Some students have alternate health insurance coverage and do not need to have SHIP.

Does UT have health insurance?

UT offers one medical insurance plan, UT SELECT, a self-funded PPO plan, administered by Blue Cross and Blue Shield of Texas.

What insurance does UT health take?

Insurance We Accept Insurance CompanyPlan Type Aetna Better Health Medicaid Blue Cross Blue Shield of Texas HMO, PPO, POS, Medicare Advantage, Blue Advantage (BAV-ACA Exchange), HPN-EPO, Transplant, Medicaid Cigna Open Access Plus- USAA employees and dependents only Clover Health Medicare Advantage33 more rows

Who is eligible for UT Austin benefits?

Eligibility - Active Employees Full time employees are those who work 30 or more hours per week. Certain non-employee Postdoctoral Fellows and Graduate Student Fellows are also eligible to participate in the university's medical, dental, and vision insurance plans.

Does UTSA offer health insurance for students?

The University of Texas System is pleased to offer a Student Health Insurance Plan administered by Academic HealthPlans and underwritten by AcademicBlue by Blue Cross and Blue Shield of Texas. The student-focused plan protects students at school, at home, and while traveling or studying abroad.

For pdfFiller’s FAQs

What is 2012–2013 Student Health Insurance Enrollment Form?

The 2012–2013 Student Health Insurance Enrollment Form is a document designed for students to enroll in a health insurance plan for the academic year 2012-2013.

Who is required to file 2012–2013 Student Health Insurance Enrollment Form?

Students who are required to have health insurance coverage and wish to enroll in the school's health insurance plan must file the 2012–2013 Student Health Insurance Enrollment Form.

How to fill out 2012–2013 Student Health Insurance Enrollment Form?

To fill out the 2012–2013 Student Health Insurance Enrollment Form, students should provide personal information, including name, school identification number, and contact details, and indicate their choice regarding health insurance coverage.

What is the purpose of 2012–2013 Student Health Insurance Enrollment Form?

The purpose of the 2012–2013 Student Health Insurance Enrollment Form is to facilitate the enrollment process for students seeking health insurance coverage during their studies.

What information must be reported on 2012–2013 Student Health Insurance Enrollment Form?

The information that must be reported includes the student's full name, date of birth, student ID number, home address, contact information, and any other required details as specified by the institution.