Student Athlete Forms
New for Fall 2022: BearCare Portal
Access your health and wellness records, make medical or athletic training appointments, and submit forms and documentation to the Wellness Center and Sports Medicine Clinic.
All Student Athletes MUST complete the required Wellness and Student Athlete forms by clicking on the BearCare Portal link above. You will find your required forms in the “My Forms” section.
**Please contact Dana Roche (firstname.lastname@example.org) in Athletics with questions about the Medical Consent, Authorization for Release or Preparticipation Physical Evaluation.
Student Health Plan Information
The annual cost for the student health plan through United Healthcare for the 2022-2023 year is $2250.00. The annual coverage is in effect from August 7, 2021 through August 6, 2022. To enroll or waive directly, please click here.
For more information on the Student Health Plan Option provided by United Healthcare please contact First Risk Advisors Customer Service at 800-505-4160 or email email@example.com. You can also visit http://www.firststudent.com/
Losing Your Health Coverage?
If you did not enroll during our open enrollment period and have since lost coverage under your original plan, you may qualify for a Qualifying Life Event. A qualifying life event is an event that triggers an open enrollment window for an individual to purchase the Student Health Plan outside of the scheduled open enrollment period upon providing proof of involuntary loss of coverage and payment, within 30 days of losing coverage. (example: marriage, divorce, loss of job, etc.)
The enrollment form, check or money order and the letter of creditable coverage, must be received within 30 days of losing coverage. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.