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Get the free 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM

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Este formulario se utiliza para la inscripción en el seguro de salud para estudiantes de primer y segundo año de medicina en la Universidad de Texas Health Science Center en Houston, mediante Blue
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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 your school's health services website or office.
02
Fill in your personal information such as name, address, date of birth, and student ID number in the designated fields.
03
Provide information about any prior health insurance you may have, including the insurance provider and policy number.
04
Indicate whether you wish to enroll in the school-provided health insurance plan by checking the appropriate box.
05
Complete sections regarding any dependents you wish to include in your coverage, if applicable.
06
Review the form for accuracy and completeness.
07
Sign and date the form at the bottom.
08
Submit the completed form to the designated office by the specified deadline.

Who needs 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM?

01
Any student who is enrolled in a school that requires health insurance coverage.
02
Students who do not have alternative health insurance and wish to enroll in the school-provided plan.
03
International students who may need to demonstrate health insurance coverage for visa requirements.
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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 health insurance coverage for the academic year.
Students who wish to obtain health insurance coverage through their educational institution are required to file the 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM.
To fill out the form, students need to provide personal information, select their desired coverage options, and sign the document to confirm their enrollment.
The purpose of the form is to facilitate the enrollment of students in health insurance plans offered by their institution, ensuring they have access to necessary healthcare services.
The form requires personal details such as the student's name, student ID, contact information, insurance selections, and possibly health history or existing conditions.
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