Enroll in three easy steps:
1. Find your state from the list below, select and print your blank applications.
2. Provide the requested information on the application and supply requisition and sign the completed application.
3. Mail all pages of the application to our attention.
Mail to: UnitedHealthcare StudentResources
Attn: K12 Sales
805 Executive Center Drive West, Suite 220
St. Petersburg, FL 33702
Application and Instructions - We’ve tried to make it as easy as possible for you. Simple instructions provide step by step guidance for completing your application.
Plan Descriptions – Look below to review the plan information for Accident, Athletic, Student Health (Injury & Sickness), and Catastrophic plans.
Rates – The application will show your state specific options and rates for mandatory accident and voluntary plans.
Payment Note – You may mail a check with your application, or the UnitedHealthcare administrator will send you an invoice after your application is processed. If not pre-paying, please provide your billing address.
Supply Requisition Form – Within the application, let us know how many voluntary student plan enrollment flyers you’ll need to distribute to parents and indicate where to ship them. No PO Boxes please. Your school’s physical address is required for UPS shipping.
Claim Forms – Claim forms are easily accessible online at this site within the Claims tab.
For more information on any of our products or for assistance with your application, please call 800-237-0903 Ext. 6281.
Begin your Enrollment