To begin the enrollment process please enter your demographic information below and click the "next" button at the bottom to continue.
If you receive an error message when entering your information please contact HSAC at 888-978-8355.
The deadline for Medical Students and continuing PA students to submit your annual waiver is July 31st. You MUST include a copy of your Health Insurance ID card with your waiver submission.
The deadline for PA 1 Students to submit your annual waiver is August 31st. You MUST include a copy of your Health Insurance ID card with your waiver submission.
Please enter your information. Fields with * are required
* Student ID is not a required field.
* If you don't know your University Email address, you may enter your personal email address instead.
Please choose your insurance coverage:
*For incoming students and continuing students enrolling during the Open Enrollment period (8/1/2017 - 8/31/2017), the requested effective date will be 08/01/2017.
*For continuing students enrolling outside of an Open Enrollment period, as a result of an involuntary loss of other coverage, the requested effective date will be the date you lost other coverage.
If you have any extra documents you would like us to have, please upload them here. Only .doc, .docx and .pdf files are accepted. Up to two documents may be uploaded. Each file may be no larger than 10 Megabytes.