Get Uc Merced Voluntary Undergraduate Student ...

Filling out the UC Merced voluntary undergraduate student health insurance enrollment form is an essential step for students seeking health coverage during their academic journey. This guide will assist you in completing the form accurately and efficiently using an online format.

Follow the steps to successfully complete your enrollment form.

1. Press the ‘Get Form’ button to access the enrollment form and open it for editing.
2. Begin filling out the student’s name section. Include the last name (family name), first name, and middle initial.
3. Enter your date of birth by specifying the month, day, and year.
4. Complete the permanent U.S. mailing address section, including the street address, apartment number (if applicable), city, state, and zip code.
5. Provide your phone number and email address for communication purposes.
6. Select your gender by checking the appropriate box (female or male). Also, indicate your marital status by choosing either single or married/domestic partner.
7. Check the student status section, selecting all applicable options such as concurrent student, continuation, planned educational leave, or approved withdrawal.
8. If you are an international student, indicate your visa type and your home country.
9. List any dependents you wish to enroll. Include details like last name, first name, middle initial, gender, and date of birth for each dependent.
10. Ensure you attach the required documentation for each dependent if applicable, such as marriage or birth certificates.
11. Choose your coverage option and select the appropriate payment method. Include necessary details for credit card payments, if applicable.
12. Review all entered information for accuracy to ensure everything is correct before submission.
13. Once completed, you can save your changes, download the form, print it, or share it as necessary.

Complete your UC Merced voluntary undergraduate student enrollment form online today to secure your health coverage.