Health Insurance Forms

Select this link for SPECIFIC INTERNATIONAL STUDENT AND SCHOLAR HEALTH INSURANCE PROCEDURES including automatic enrollment, for other forms scroll down
Claim forms - procedures	Filing Claim review brochure at SR United Health Care Insurance
Waiver forms	Please go to the waiver forms page
J EV/AT/OPT INSURANCE ENROLLMENT forms only (OIE STAFF)	These forms are NOT for F and J students/dependents enrolled in classes during a regular term.
Category of international student or scholar	For AY 2007-08	For AY 2006-07
REQUIRED - Research, Professor, Short Term Visitor, Specialist	J Scholar PDF 2007-08	no longer available
REQUIRED - Academic Training J Students	J Students PDF- 2007-08	no longer available
OPT - optional enrollment form	OPT Students PDF -2007-08	no longer available
Emergency Assistance Insurance Only Form	EMAP FORM PDF - 2007-08	no longer available
	Policy end date August 15, 08	Policy end date 08/15/07
	Created 2005, rev. 08/08/2008 01:35:40 PM