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Student
Health Insurance

 

Rochester Campus
 Health Insurance
-International
-Student Health Benefit Plan
 ---Download Plan Benefits
 ---Waiver
 ---Enrollment
 ---Cost and Coverage
 ---Int'l Medical Assistance 
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Health Insurance > Rochester Campus > Student Health Benefit Plan > Enrollment

Health Insurance - Rochester Campus

Student Health Benefit Plan (SHBP)
 
Enrollment
For dependents:

A covered student may purchase coverage for his or her spouse, registered same-sex domestic partner, and/or dependent children.
  • Dependents can only be enrolled when the student initially becomes eligible and is enrolled in the plan, during the open enrollment period which is the first 30 days of coverage during Fall semester, or within 31 days of becoming an eligible dependent.


Download and fill out the Rochester dependent enrollment form.
(PDF Format*)
 

*You need Adobe Reader to view the form. If you do not have Adobe Reader, download it for free here.
Please send enrollment forms with payment to:

Student Health Benefits Office
Boynton Health Service
410 Church Street S.E.; Room N323
Minneapolis, MN 55455.
If you have any questions, please contact the Student Health Benefits Office by calling 1-800-232-9017 or 612-624-0627 or e-mail studins@bhs.umn.edu.

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