Enrollment
2017-2018 School Year
- Enrollment Form - Continuation - 2017-2018 School Year ONLY.
- Qualifying Event Enrollment Form - Use only for a life event (aging off parent's plan, marriage, newborn, adoption of child). Supporting documentation is required.
2018-2019 School Year
Graduate Students
The Fall online open enrollment period for Graduate students is 6/26/18 – 08/20/18
(Annual Installment Enrollment Option ends 8/20/18)
GRADUATE STUDENTS: The email you received from UT Southwestern included the Promo Code under the ‘Enrolling in AcademicBlue’ section of the email. If you have failed to retain your email communication, please contact stuinfo@utsouthwestern.edu and the institution will provide the Promo Code to you.
Medical and Health Professional Students
NOTE: All Medical and Health Professions Students will be automatically enrolled in the health insurance plan unless a waiver is submitted online. You will only need to take action if you choose to enroll your dependents.
You can add your dependents by using the forms listed during the open enrollment periods.
The Fall open enrollment period to enroll in dental and/or to enroll dependents is 6/1/18 through 10/1/18.
The Spring/Summer open enrollment period to enroll in dental and/or to enroll dependents is 11/1/18 – 2/28/19.
The Summer open enrollment period to enroll in dental and/or to enroll dependents is 4/1/19 – 6/15/19.
- AES — Enroll Online
- AES Enrollment Form
- Enrollment Form - 1st Yr Med Students (Dental Only) and Their Dependents (Medical + Dental) - Students can only enroll in the optional dental plan. Dependents can be enrolled in medical and dental.
- Enrollment Form - 2nd Yr Med Students (Dental Only) and Their Dependents (Medical + Dental) - Students can only enroll in the optional dental plan. Dependents can be enrolled in medical and dental.
- Enrollment Form - 3rd/4th Yr Med Students (Dental Only) and Their Dependents (Medical + Dental) - Students can only enroll in the optional dental plan. Dependents can be enrolled in medical and dental.
- Enrollment Form - Health Profession Students (Dental Only) and Their Dependents (Medical + Dental) - Students can only enroll in the optional dental plan. Dependents can be enrolled in medical and dental.
- Enrollment Form - Graduate Students and Their Dependents - Graduate students and their dependents can enroll in medical and dental.
Qualifying Event Enrollment Forms (All Students)
- Qualifying Event Enrollment Form - Use only for a life event (aging off parent’s plan, marriage, newborn, adoption of child). Supporting documentation is required.
- Student Turning Age 19 Qualifying Event Form (DENTAL ONLY) - Use only for a life event (aging off parent’s plan, marriage, newborn, adoption of child). Supporting documentation is required.