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Get the free 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM

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Este formulario es para la inscripción de seguro de salud para estudiantes de la Universidad de Texas MD Anderson para el año académico 2012-2013, gestionado por Blue Cross y Blue Shield de Texas.
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How to fill out 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM

01
Obtain the 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM from the institution's website or health services office.
02
Fill in your personal information at the top of the form, including your full name, student ID, and date of birth.
03
Complete the contact information section, providing your current address, phone number, and email address.
04
Indicate your enrollment status (full-time or part-time) and academic program.
05
Select the type of coverage you are applying for (individual or family coverage).
06
Provide details of any other health insurance you currently have, including policy numbers and provider information.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form to the designated office by the deadline specified on the form.

Who needs 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM?

01
Students who are enrolled in a college or university and do not have other health insurance coverage.
02
International students who need health insurance for the duration of their study.
03
Students who want to ensure they have coverage for medical expenses during the academic year.
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Your state Medicaid agency may ask for: Your name and date of birth. Your Social Security number. Your monthly payment amounts for rent, mortgage, or utilities. Proof of citizenship or immigration status. Proof of income, like paystubs or W-2s. A verification of what other government benefits you receive.
Spring/Summer 2025 New Student: $1,838.00. Spouse: $1,838.00. 1 Child: $1,838.00. All Children: $3,676.00.
As mentioned, students can buy health insurance from their college or university in most cases. This type of coverage is often called “campus health insurance” or a “student health plan.” ing to The New York Times, campus health insurance can cost $2,000 to $4,000 per academic year.
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.
2024-25 RATES - Student Health Benefits Plan Coverage LevelPer Semester – Autumn / Spring (spring semester includes summer coverage) Fee includes medical, dental and vision benefits Student $ 1884 Student + Spouse $ 3768 Student + Child $ 3768 Student + Spouse + Child $ 56522 more rows
(New policy year begins) Premium Rates: Student: $1,448.00. Spouse: $1,448.00.
COBRA for Students COBRA (Consolidated Omnibus Reconciliation Act) allows graduates to extend the coverage they had under their parents' plans for an additional 36 months past their 26th birthday.

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The 2012–2013 Student Health Insurance Enrollment Form is a document used by students to enroll in a health insurance plan offered by their educational institution for the academic year 2012-2013.
Students who wish to obtain health insurance coverage through their school for the academic year 2012-2013 are required to file the Student Health Insurance Enrollment Form.
To fill out the form, students need to provide their personal information, such as name, student ID, contact details, and any other required information as specified on the form, and then submit it according to the institution's guidelines.
The purpose of the form is to facilitate the enrollment of students in the health insurance plan offered by the institution, ensuring that they have access to necessary medical care while enrolled.
The information that must be reported includes the student's full name, student ID number, date of birth, contact information, and any other relevant details as required by the health insurance provider or the institution.
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