Student / Dependent Enrollment
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Welcome to the Student / Dependent Enrollment Center! We are here to help make enrolling as easy and as painless as possible.
We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.
2013 - 2014 School Year Coming Soon!
2012 - 2013 School Year
HARD WAIVER STUDENT ENROLLMENT INSTRUCTIONS
If you are a……
Full-time graduate, Undergraduate and International student taking at least 6 credits who secure housing through Immaculata University; and all other students classified by Immaculata University as full-time who secure housing through Immaculata University you are required to purchase this insurance plan, unless proof of comparable coverage is furnished.
- Annual Enrollment Deadline: 9/10/12
- Spring/Summer Enrollment Deadline: 1/25/13
- Summer Enrollment: If you are a new incoming student for the Summer Session,
enrollment is voluntary. Please
If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school.
If you have previously waived out of the insurance and would like to enroll, or if your non-school sponsored coverage is being terminated and you are now looking to enroll in the Student Injury & Sickness plan, please contact your Student Health Center.
If you are a….
Undergraduate student that is classified by Immaculata University as full-time and do not secure housing through Immaculata University you are eligible to enroll. Please see Voluntary Student and Dependent Enrollment Instructions below.
Eligible students who do enroll may also insure their Dependents. Please see Voluntary Student and Dependent Enrollment Instructions below.
Voluntary Student and Dependent Enrollment Instructions
To enroll by mail-download an enrollment form and submit by mail to the mailing address listed on the back of the Enrollment Forms.
The effective date of your coverage will be the date we received the enrollment form in our office.
If you have any questions about the enrollment process, please call 800-505-4160 or
We are always happy to help in anyway.