What paperwork do I need?
Complete either: an enrollment form (if you are making changes or adding dependents), or a waiver form. Submit it to the Student Health Insurance Office by the deadline below for the given term. Do not submit forms earlier than six months prior to the insurance start date or without a local address. Enrollment forms are available for download on this page, or in our office. Please return all forms to the SHS Insurance Office, not to PacificSource.
Note about fall enrollment forms/waivers: All graduate assistants must submit the appropriate paperwork for the fall term unless you had a summer assistantship that is continuing with no changes in personal information or dependents. If you were on the Graduate Summer Insurance at 85%, we will continue that same policy. All forms must be submitted by the deadline below, dependent upon your start term.
Deadlines for form submission: All forms must be submitted within the first 30 days of employment.