Graduate Assistant Health Plan Continuation Payment (Dependent Plan 1)

Students who have lost eligibility for the Graduate Assistant Health Plan and are enrolled into the continuation of coverage option will have to submit their monthly premiums directly to our office.

This option is for primary members with dependents enrolled on Plan 1. 
Fields with asterisk are required.
The price must be from $0.00 to $1,000.00
Picture of Graduate Assistant Health Plan Continuation Payment (Dependent Plan 1)