Quick Links
Enrollment Information
- support@ahpcare.com
-
Toll Free
1-855-247-7587 -
Fax
1-855-858-1964
Enrollment
The Fall open enrollment period is 6/1/18 – 10/1/18
The Spring/Summer open enrollment period is 11/1/18 – 2/28/19.
The Summer open enrollment period is 4/1/19 – 6/15/19.
- Enrollment Form - Academic Student Dependents
- Enrollment Form - Dental Hygiene Student Dependents
- Enrollment Form - Dental Student Dependents
- Enrollment Form - Dental Post-Graduate Student Dependents
- Enrollment Form - 1st Yr Medical Student Dependents
- Enrollment Form - 2nd Yr Medical Student Dependents (Special Coverage)
- Enrollment Form - 3rd Yr Medical Student Dependents (Special Coverage)
- Enrollment Form - 4th Yr Medical Student Dependents
- Enrollment Form - AES
- Enrollment Form - Continuation
- Qualifying Event Enrollment Form - Use only for a life event (aging off parent’s plan, marriage, newborn, adoption of child). Supporting documentation is required.
- Student Turning Age 19 Qualifying Event Form (DENTAL ONLY) - Use only for a life event (aging off parent’s plan, marriage, newborn, adoption of child). Supporting documentation is required.