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Get Student Health Insurance Declination Form - Research Uky
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How to fill out the STUDENT HEALTH INSURANCE DECLINATION FORM - Research Uky online
The Student Health Insurance Declination Form is an essential document for graduate assistants and fellowship recipients at the University of Kentucky who wish to decline health insurance coverage. This guide provides a clear and comprehensive overview of how to complete the form correctly and efficiently.
Follow the steps to complete the form successfully.
- Press the ‘Get Form’ button to access the form and open it in your document management tool.
- Begin by entering your personal information. Fill in your last name, first name, and middle initial in the designated fields.
- In the certification section, clearly state that you are declining the University of Kentucky Student Health Insurance by marking the appropriate checkbox.
- Be aware that declining coverage eliminates any eligibility for a spouse or dependents under this plan.
- Finally, return the completed form to the Graduate School Funding Office at the address provided, or using the fax number listed.
Complete your documents online today and ensure you meet all necessary deadlines.
How much does the health plan cost? The cost for Fall 2022 coverage is $1,008. The cost for Spring/Summer 2023 is $1,646.
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