Wake Forest University
STUDENT HEALTH INSURANCE PLAN
Qualifying Event Enrollment Form
2024-2025 Academic Year
A qualifying life event makes you eligible for special enrollment rights to enroll in the student health insurance plan outside of your initial eligibility period.
Loss of Coverage
-
If your other insurance coverage has recently ended or is about to end
-
If your plan no longer includes Winston-Salem, NC, in its service area.
Required Documentation: You must provide a loss of coverage letter that includes the student's name and specifies the date the coverage ends, or documentation showing that the plan no longer covers the student in Winston-Salem, NC.
Moving to or From School
-
If the student was studying abroad or outside of Winston-Salem, NC, during the fall semester, they may enroll in spring coverage upon returning to campus for the spring semester.
Required Documentation: Provide documentation or a letter confirming the location where the student studied during the fall semester.
The deadline to complete enrollment is 30 days from the date of the qualifying event.
