Student Health Insurance Plan — Forms

The Chickering/DU insurance program provides you with worldwide medical coverage, 24-hours a day.
The Chickering/DU insurance program provides you with access to more than 646,000 providers and 3,900 hospitals nationwide.
The Chickering/DU insurance program provides you with access to more than 55,000 pharmacies nationwide.
The Chickering/DU insurance program provides you with unlimited benefits for Medical Evacuation.
The Chickering/DU insurance program provides you with a dedicated Customer Service Team, 877-409-7360.
The Chickering/DU insurance program provides you with the opportunity to insure your family while attending school.
You can print a temporary ID card using Aetna Navigator.
You can rate your providers using Aetna Navigator.
You can compare hospitals using Aetna Navigator.
You can review the cost of prescriptions using Aetna Navigator.
You can review your claims using Aetna Navigator.
The Chickering Group has provided health insurance programs to colleges and universities for more than 25 years.
The Chickering Group provides health insurance programs to more than 125 colleges and universities.
The Chickering Group provides health insurance programs to more than 325,000 students and dependents.
Aetna is one of the most established insurance companies in the world – established in 1850.
Aetna is ranked No. 2 in Fortune magazine's 2005 Most Admired Companies list.
Aetna Navigator received the Silver Award for Best Interactive Site from eHealthcare.
Aetna Intelihealth received the Platinum Award for Best Healthcare Site from eHealthcare.
Aetna won the Best Disease Management Program in Managed Care award from the Disease Management Association of America.

SHIP Brochure

Fall 2007-Summer 2008

Fall 2006-Summer 2007

Student Enrollment Forms

Continuous Enrollment
Students must enroll for each new coverage period. Only new students starting during the winter term may enroll for the winter quarter.

Quarter Student Forms
Students must enroll for each new coverage period. Only new students starting during the winter term may enroll for the winter quarter.

Law Student Forms
Students must enroll for each new coverage period. Only new students starting during the winter term may enroll for the winter quarter.

Study Abroad Forms

Dependent Enrollment

To enroll your spouse, domestic partner please visit www.chickering.com. Please find details about dependent coverage in the Student Health Insurance Plan 2007 - 2008 Brochure.