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His area completed by Employer: Group/Billing Unit No. Department No. Effective Date / / Employer Name: Employer Address: A. Employee Information Name (First, Last): Address: City: State: Zip: Telephone: ( ).

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Can I keep both SHIP and Medi-Cal? No action is necessary if you choose to keep both SHIP and your Medi-Cal. SHIP will be your primary insurance if you choose to have dual coverage. Many of our students choose to have dual coverage.

Medical (First Year, Returning) Per TermFall (1st year students)$2,602.81Winter$1,839.62Spring/Summer$1,839.62Total Annual$6,282.05

It shows how much you may owe, the amount that was billed, and your member rate. It also shows the amount you saved and what your plan paid. Look at this statement carefully and make sure it is correct. If you do owe anything, you will receive a bill from your doctor or health care provider(s).

Aetna Funding Advantage (AFA) plans are self-funded, meaning the benefits coverage is offered by the employer. Aetna Life Insurance Company only provides administrative services and offers stop loss insurance coverage to the employer.

Any student with questions regarding eligibility should contact Student Health and Wellness at (434) 243-2702 or email sth-ins@virginia.edu.

UC SHIP is an affordable health insurance plan tailored to the health care needs of UCSC students. The medical plan features year-round, worldwide coverage using the Anthem Blue Cross network, and includes prepaid access to care at the UCSC Student Health Center for illness or injury.

UC SHIP is a self-funded, comprehensive health insurance program for registered UCI undergraduate and graduate students that is underwritten and administered by the Regents of the University of California. The plan includes medical, behavioral health, pharmacy, dental and vision benefits.

UC SHIP is a self-funded, comprehensive health insurance program for registered UCI undergraduate and graduate students that is underwritten and administered by the Regents of the University of California. The plan includes medical, behavioral health, pharmacy, dental and vision benefits.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232