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Opt Out

Opting Out of coverage: If you are an eligible student and have comparable health and/or dental coverage you may apply to opt out benefits. Each student is given one opportunity to opt out benefits under the health and/or dental plan(s) each year. All Opt Out forms must be completed online and must be received by the applicable deadline date. You will not be able to opt out of coverage at any other point during the school year.

click here to complete your opt-out request.


PLEASE NOTE:
If you are looking to Opt Back into the plan, please fill out the Individual Re-Enrollment Form.

Online Opt Out and Flex options are closed for the Winter 2018 semester. Online opt-outs and Flex options will be reopened at July 1st 2018 for Fall 2018 semaster. Please contact Student Benefits Plan Office if you have any questions.

 

Student Information

Date of Birth
Phone Number
Program Start Date

Service Members


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