Postdoc Plan

Download Application Form for Medical Insurance

The Open Enrollment period for the 2016-17 policy year is now closed.

Download Termination Form for termination of dependent coverage

  • If you wish to terminate dependent coverage, please complete the form below and send it to Student Blue via email or fax.
  • Termination requests must be received prior to the requested termination date.
  • Terminations are available on a monthly basis and effective on the last day of the month.
Termination Form [pdf]