Graduate and Degree Completion Enrollment

Graduate students carrying six credit hours or more may be eligible and included in the plan by request only.  Degree Completion students carrying 12 credit hours or more in two blocks (one semester) may be eligible and included in the plan by request only. Coverage for both Graduate and Degree Completion students is effective one business day after the premium is paid for the remainder of the plan year. Students may enroll in this plan through October 1 for fall semester or through February 1 for first-time students in the spring semester.

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Birthdate
 

 Payments Online -Please use this link to make payment. This form cannot be submitted without payment.

I acknowledge that I am registered for the required number of credit hours as dictated by my student type (graduate or degree completion) and I have made payment for the premium as indicated above. Enrollment forms will not be accepted after October 1 for fall semester and February 1 for first- time students enrolled in spring semester

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Date signed
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