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.