
Get the free 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM
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This form is used for enrolling domestic undergraduate and graduate students at the University of Texas at Brownsville in a health insurance plan provided by Blue Cross and Blue Shield of Texas.
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How to fill out 20122013 student health insurance

How to fill out 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM
01
Obtain the 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM from your school or the designated website.
02
Fill in your personal information in the designated fields, including your name, university ID, and contact details.
03
Indicate your enrollment status (full-time or part-time) and the degree program you are enrolled in.
04
Choose whether you are enrolling in the student health insurance plan or waiving coverage.
05
If enrolling, provide any additional information requested regarding your dependents (if applicable).
06
Review the terms and conditions related to the health insurance plan to ensure understanding.
07
Sign and date the form to confirm that the information provided is accurate and complete.
08
Submit the completed form by the specified deadline to the appropriate office or online portal indicated in the instructions.
Who needs 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM?
01
Students who are enrolled at the university and want to obtain health insurance coverage.
02
Students who do not have existing health insurance and need a plan for the academic year.
03
International students who may be required to have health insurance as part of their enrollment.
04
Any student looking to ensure they have medical coverage while attending school.
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Spring/Summer 2025 New Student: $1,838.00. Spouse: $1,838.00. 1 Child: $1,838.00. All Children: $3,676.00.
How much do college students pay for health insurance?
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Can I drop my 17 year old from my health insurance?
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How much is Ohio State student health insurance?
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How much is student health insurance at Ohio University?
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What is 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM?
The 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM is a document used by students to enroll in or waive health insurance coverage 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 as part of their enrollment at the institution 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 form, students typically need to provide personal information, indicate their choice of enrolling in or waiving health insurance, and sign the form as required.
What is the purpose of 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM?
The purpose of the form is to allow students to enroll in the provided health insurance plan or to confirm that they have alternative coverage that meets the institution's requirements.
What information must be reported on 2012–2013 STUDENT HEALTH INSURANCE ENROLLMENT FORM?
The information that must be reported includes the student's name, student ID number, contact information, choice of insurance enrollment or waiver, and details about alternative insurance coverage if applicable.
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