Dependent Coverage
Undergraduate, graduate and professional students who are enrolled in UC SHIP have the option to enroll eligible dependents in a voluntary insurance plan. The plan provides Anthem Blue Cross PPO medical insurance with the option to purchase Delta Dental and Vision benefits.

UC SHIP Dependent Flyer
Enrollment in the dependent plan is managed by Academic Health Plans (AHP) on behalf of Anthem Blue Cross and the cost of insurance (premiums) for dependents is paid directly to AHP. Student Health Services DOES NOT manage the enrollment or collect payments for the dependent plan.
Click here for the summaries of medical benefits and pharmacy benefits for dependents. For additional information, please contact AHP at 855-428-0727.
Dependent Enrollment Forms and Premium Fees
Coverage for eligible dependents will not be effective prior to that of the insured student, or extend beyond that of the insured student. Dependent enrollment/re-enrollment in the dependent plan is not automatic. Eligible dependents must be re-enrolled each subsequent quarter/semester in order to continue coverage under the dependent plan.
Click on the links to the right for the Dependent Enrollment Forms. These contain the enrollment deadlines, periods of coverage, the costs for each dependent, and other information.
Are you expecting? Click here for information about Anthem's Future Mom Program through UC SHIP.

UCLA UC SHIP Dependents 2019-2020 Premium Fees
Partner of Student Per Semester Per Quarter
Graduate​ (medical, dental, vision)
​$3,704.56 $2,469.70
​Undergraduate (medical, dental, vision)
​N/A $2,186.97
​Graduate (medical only) ​$3,554.50 ​$2,369.67
​Undergraduate (medical only)
​N/A $2,112.67
​Child(ren) of Student
Graduate​ (medical, dental, vision) ​$3,224.07 $2,149.38
​Undergraduate (medical, dental,vision)
​Graduate (medical only) ​$3,073.50 ​$2,049.00
​Undergraduate (medical only)
N/A ​$1,827.33
​Partner +Child(ren) of Student (Family)
​Graduate (medical, dental, vision) ​$6,723.41 ​$4,482.27
​Undergraduate (medica, dental, vision) ​N/A ​$3,959.15
Family Premium
​Graduate (medical only)
​$6,442.50 $4,295.00
​Undergraduate (medical only) N/A ​$3,826.67

Dependent Documentation
Dependents are required to provide proof of dependent status; the following documents will be accepted: 
  • For spouse, a marriage certificate
  • For same sex domestic partner, a declaration of independent partnership issued by the state of California
  • For a natural child under the age of 26, a birth certificate showing the student is the parent of the child.
Alternate Insurance Resources

For additional options for dependent coverage, pleaseclick here to view our alternate insurance resource guide.  These options are not endorsed by the university in any way but are offered as a courtesy for our students.

Contact Information
Dependent Plan Enrollment:
Academic HealthPlans [AHP]
Medical and Vision:
Anthem Bue Cross
(866) 940-8406
Delta Dental
(800) 765-6003
Related Forms and Documents
Medical Information
Dental & Vision
UC SHIP Dependent Dental and Vision Plans are the same as the student plans.
You can find the Delta Dental and Blue View Vision benefit summaries and booklets on the Description of Benefits page on the UCLA home page at