Enrollment
To submit eligible claims prior to receiving your ID card contact customer service. If you need treatment or a prescription drug prior to receiving your ID card, verify your benefits by contacting customer service at 1-855-267-0214.
The Annual/Fall 19-20 open enrollment period is 7/28/19 - 9/28/19.
The Annual Installment Enrollment Option ends 9/27/19
The Spring/Summer 19-20 open enrollment period is 12/1/19 – 2/1/20.
The Summer (both Summer I and Summer II) 19-20 open enrollment period is 4/30/20 – 5/28/20.
The Maymester 19-20 open enrollment period is 5/1/20 – 5/17/20.
The Summer 1 19-20 open enrollment period is 5/21/20 – 6/18/20.
The Summer 2 19-20 open enrollment period is 6/26/20 – 7/24/20.
- 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.