The re-enroll form is not accessible at this time.
All eligible students who previously opted out of the Health and Dental Plan will be automatically re-enrolled each fall semester. There is no need to apply for re-enrollment, as your opt-out status only lasts until August 31st. After that date, coverage will resume for the new benefit year.
Re-enroll Form: The re-enroll form will be available starting October 4th, 2025, exclusively for eligible students who opted out of the plan. Applications must be submitted within 30 days from the loss of coverage date.