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Health Insurance Plans
ZIP Code of permanent residence:
My permanent residence is outside the US:
ZIP Code of school where enrolled:
State of residence while in school:
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AL
AK
AR
AZ
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CO
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NV
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OH
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PA
RI
SC
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TN
TX
UT
VA
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WA
WI
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I want my coverage to start on:
08/21/2008
08/22/2008
08/23/2008
08/24/2008
08/25/2008
08/26/2008
08/27/2008
08/28/2008
09/01/2008
09/02/2008
09/03/2008
09/04/2008
09/05/2008
09/06/2008
09/07/2008
09/08/2008
09/09/2008
09/10/2008
09/11/2008
09/12/2008
09/13/2008
09/14/2008
09/15/2008
09/16/2008
09/17/2008
09/18/2008
09/19/2008
09/20/2008
09/21/2008
09/22/2008
09/23/2008
09/24/2008
09/25/2008
09/26/2008
09/27/2008
09/28/2008
10/01/2008
10/02/2008
10/03/2008
10/04/2008
10/05/2008
10/06/2008
10/07/2008
10/08/2008
10/09/2008
10/10/2008
10/11/2008
10/12/2008
10/13/2008
10/14/2008
10/15/2008
10/16/2008
10/17/2008
10/18/2008
10/19/2008
Payment Options:
Semi-Annually
Annually
Gender:
Male
Female
Date of Birth:
/
/
mm dd yyyy
I have used tobacco in the last 12 months.
I am a full-time college student.
Our Student health insurance plans provide individual health insurance for undergraduate and graduate students enrolled with at least 9 credits at a college or university.
Learn more
.
>
Flexible and portable - choose your own doctors and hospitals, at home or at school
>
Immediate protection - your coverage may start within 24 hours
>
Year-round health insurance, not just during the school term
>
Short, simple and secure online applications
Live Assistance
1-800-977-8860
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Did you know?
eHealth offers more than 10,000 plans from 175 carriers.
Common Questions
How can college students meet their needs with a Student insurance plan?
Who can purchase Student health insurance?
Can I add my family members (spouse and dependents) to my policy?
When does my coverage begin?
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1-800-977-8860