UTHOUSTON | Enrollment

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Enrollment Information Blue Cross and Blue Shield of Texas

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Enrollment

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 Post-Graduate Student Dependents
Enrollment Form - AES
Enrollment Form - Continuation
Qualifying Event Enrollment Form - Use only for a life event (aging off parent's plan, marriage, divorce, 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, divorce, newborn, adoption of child). Supporting documentation is required.