Note, you will need to have Adobe Acrobat Reader installed on your computer
to access these forms.
Our fax number is: 970-351-3234
Our office is located in:
Cassidy Hall
1901 10th Avenue
(SW corner of 10th
Ave. & 19th St.)
NOTE: The Fall 2008 Waiver is available online through your URSA account.
INSTRUCTIONS FOR ACCESSING THE ONLINE WAIVER FORM:
1. If you already have an URSA account, you may log into
http://ursa.unco.edu, click on
the Financial tab and locate the link to the "UNC Student Health
Insurance Plan Online Waiver System" (SHIP).
IMPORTANT: Please be sure to have your insurance card
available before you enter the online waiver system!
2. If you have been admitted, but do not have an URSA account,
access the URSA home page at
http://ursa.unco.edu and create your student account from the
link titled "NEW STUDENTS START HERE." Once your account has been
established, follow the same steps as in item 1 above.
THE DEADLINE TO WAIVE PARTICIPATION IN THE UNC-SPONSORED PLAN
FOR FALL SEMESTER 2008 IS SEPTEMBER 8, 2008.
Health Insurance Booklet -
2008-2009
Dependent Enrollment Form -
2008-2009
Re-enrollment Form -
2008-2009
Sports Rider Enrollment
Form - 2008-2009
NOTE: Please contact the Student Health Insurance Office at
970-351-1915 for information on premium and dates of coverage.