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Get the free UC SHIP Voluntary Student/Dependent Enrollment Form (Grad) - healthcenter ucsc

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? NEW ? RENEWING 80 VOLUNTARY STUDENT & DEPENDENT ENROLLMENT FORM UC SANTA CRUZ GRADUATE STUDENT HEALTH INSURANCE PLAN 2013-2014 ENROLLMENT FORM Wells Fargo Insurance Medical ID# www.ucop.edu/ucship
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How to fill out uc ship voluntary studentdependent

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How to fill out UC SHIP Voluntary Student Dependent:

01
Obtain the necessary forms: Visit the UC SHIP website or contact the UC SHIP office to obtain the Voluntary Student Dependent enrollment form.
02
Fill out personal information: Provide the required personal information of the dependent, including their name, date of birth, address, and contact details.
03
Verify eligibility: Ensure that the dependent meets the eligibility criteria for UC SHIP Voluntary coverage. Typically, this includes being a legal dependent of a UC SHIP enrolled student.
04
Submit supporting documents: Attach any required supporting documents, such as proof of relationship (marriage certificate, birth certificate, etc.), if requested.
05
Choose coverage period: Indicate the desired coverage period for the dependent. Typically, this is the same coverage period as the primary student's UC SHIP policy.
06
Review and sign: Carefully read through the entire form, double-checking all information provided. The primary student or their authorized representative should sign the form at the designated area.
07
Submit the form: Submit the completed UC SHIP Voluntary Student Dependent enrollment form along with any supporting documents either electronically or by mail, as instructed by the UC SHIP office.

Who needs UC SHIP Voluntary Student Dependent:

01
Dependents of UC SHIP enrolled students: UC SHIP Voluntary Student Dependent coverage is designed for individuals who are legal dependents of students enrolled in the UC SHIP policy.
02
Dependents without existing insurance coverage: Individuals who do not have any other health insurance coverage may need UC SHIP Voluntary coverage to ensure they have access to healthcare services.
03
Dependents who desire additional coverage: If a dependent wants additional coverage beyond what their existing insurance provides, they may choose to enroll in UC SHIP Voluntary Student Dependent coverage.
Please note that specific eligibility requirements and enrollment periods may vary, so it is always recommended to consult the UC SHIP office or website for the most accurate and up-to-date information.
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UC Ship Voluntary StudentDependent is a health insurance plan offered to dependents of students who are enrolled in a University of California campus.
Dependents of students enrolled in a University of California campus are required to file for UC Ship Voluntary StudentDependent if they wish to have health insurance coverage.
You can fill out UC Ship Voluntary StudentDependent by visiting the official website of the University of California campus where the student is enrolled and following the instructions provided.
The purpose of UC Ship Voluntary StudentDependent is to provide health insurance coverage to dependents of students enrolled in a University of California campus.
The information required to be reported on UC Ship Voluntary StudentDependent includes personal details of the dependent, relationship to the student, and payment information.
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