Health Insurance

Highlights and Premiums:

Provider Information:

Forms:

*For a Qualifying Event Change, please include:

1) Appropriate Enrollment Form (Medical/Dental or just Dental)
2) Spousal Eligibility Declaration Form (if spouse is covered on BU Medical Plan, this is required)
3) Qualifying Event Change Form
4) Letter of Creditable Coverage or documentation of Qualifying Event (this indicates date of event and comes from the current or past provider)

Policies and Notices: