Skip to main content
Academic HealthPlans
Submit a request
Submit a request
Please choose your issue below
-
Student Support
Admin Support
Care26 Access Control
IT Support
Marcom Request
After Hours Support
Invoice Set-Up Request
Care26 Internal Ticket
Student Refund Request
Refund/Overpayment Request Form
Care26 Student Support
Care 26 Feedback Form
1095-B Print & Mail Request
Student Refund Request
Purdue Enrollment Election Change
Oklahoma Waiver Inquiry
UT AGS Cancellation Requests
Refund for Overlapping Coverage -Texas A & M
University of California - Qualifying Event
Aetna
Request for waiver for Spring/Summer
Baylor
Request for waiver for Spring/Summer
DMU Insurance Update
UT AGS Waiver 23-24 policy year
Secure File/Info Transmission
Oberlin College
USC Insurance Update
South Carolina Coverage 22-23 policy year
SFSU Visiting Scholars
UT Insurance Update
UCLA Scholars Waiver Request
Pepperdine Insurance Update
UT AGS Waiver 23-24 policy year
Submit a Request To Remove yourself or your dependent from coverage due to a Qualified Life Event
To Be Enrolled
Continuation Verification-Barry University
Lake Forest College HMO Acknowledgment Plan
School Secure Folder Access Request
Standford Coverage
Continuation Verification-Barry University
Continuation Verification-Barry University
Your email address
Describe your question in a few words:
Select your School/University:
Student Name
First & Last Name
Student ID
Please enter "n/a" if you don't know
What do you need help with?
What type of question do you have?
What type of question do you have?
What type of question do you have?
What type of question do you have?
What type of question do you have?
What type of question do you have?
What type of question do you have?
Please add any additional information or questions (or enter "n/a" if no additional comments)
How would you like to be contacted?
Enter Phone Number:
Attachments
Add file
or drop files here
Need More Help?
Contact Us