The 2024-2025 policy year qualifying event enrollment form is unavailable.
If you are a student eligible for the 2023-2024 policy year, contact UHCSR to request a qualifying event enrollment at 1-800-767-0700.
Student Health Plan
- Waiver Form
- Enrollment Form
- Qualifying Event Enrollment Form
- Spring Termination Form
- Insurance ID Card
- Provider Search
- Prescription Drug List
- Find a pharmacy
- Confirmation of Coverage Letter
- View Claims