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Student Support
Admin Support
Care26 Access Control
IT Support
Marcom Request
After Hours Support
Invoice Set-Up Request
Care 26 Feedback Form
Care26 Internal Ticket
Student Refund Request
Refund/Overpayment Request Form
Student Refund Request
Care26 Student Support
1095-B Print & Mail Request
UT AGS Cancellation Requests
Purdue Enrollment Election Change
Oklahoma Waiver Inquiry
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
Continuation Verification-Barry University
To Be Enrolled
Lake Forest College HMO Acknowledgment Plan
School Secure Folder Access Request
Standford Coverage
Continuation Verification-Barry University
Continuation Verification-Barry University
Your email address
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Student Name
First & Last Name
Enter Phone Number:
Student ID
Please enter "n/a" if you don't know
Select your School/University:
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Type of Qualifying Event
Date of Qualifying Event
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