Voluntary Student / Dependent Enrollment

UC SHIP offers coverage to dependents of UC SHIP enrolled students, as well as continuing coverage to students after a registration status change. Students have 30 days prior to, and 30 days after the start of each term, to enroll in the voluntary and/or dependent coverage.
Enrollment in the dependent coverage must be renewed each term in order to continue coverage.

  • Voluntary Student Enrollment
    Students who have graduated, are on Planned Educational Leave (PELP), and graduate students on Filing Fee status, can elect to enroll in UC SHIP for an additional quarter or semester.
    Voluntary coverage enrollment is processed by Academic Health Plan (AHP) on behalf of UC SHIP. All communication and payments go through AHP. Use the enrollment forms below to enroll in the voluntary coverage. 
    **Students who withdraw or cancel their registration with UC Davis, or who have been dismissed, are not eligible to enroll in the voluntary coverage.**
  • Dependent Enrollment 
    UC SHIP enrolled students who have eligible dependents may elect to enroll them in the dependent coverage. Enrollment in this coverage is voluntary, and must be renewed each term in order to continue coverage. Coverage for eligible dependents will not be effective prior to that of the insured student, or extend beyond that of the insured student. 
     
    The plan offered to dependents provides medical insurance, and the option to purchase dental/vision benefits. Plan benefits for the voluntary dependent plans are identical to those for registered UC Davis students enrolled in UC SHIP.
    -  Dependents enrolled in the plan are not eligible to obtain services through Student Health and Counseling Services.
    -  Dependents enrolled in the plan are not required to obtain a referral for services.
    -  Dependents enrolled in the plan can only obtain services from Anthem Blue Cross contracted providers. Out of Network benefits are not available.

    UC SHIP Benefits page (link to new webpage)
  • Dependent Eligibility
    Undergraduate, Graduate, and Professional students who are enrolled in UC SHIP have the option to enroll eligible dependents in the voluntary plan. The following types of dependents may enroll:
    -  Spouse: Legally married spouse of the student
    -  Same-Sex Domestic Partner
    -  Child: The student's unmarried natural child under the age of 26
    -  Stepchild: A stepchild under the age of 26 is a dependent on the date the student marries the child's parent
    -  Adopted child under the age of 26, including a child placed with the student for the purpose of adoption, from the moment of placement as certified by the agency making the placement
    -  Foster Child: A foster child under the age of 18 is a dependent from the moment of placement with the student as certified by the agency making the placement

    NOTE: If both student parents are covered under UC SHIP, their children may be covered as the dependents of either student, but not both.

    For dependent plan enrollment questions, please contact Academic Health Plan (AHP) customer service at ucship@ahpservice.com
  • Dependent Documentation
    Students are required to provide proof of dependent status when enrolling their dependents in the plan. The following documents will be accepted:
    -  For spouse, a marriage certificate
    -  For same-sex domestic partner, a Declaration of Domestic Partnership issued by the State of California, or of same-sex legal union other than marriage formed in another jurisdiction, or a completed Declaration of Domestic Partnership form issued by the University
    -  University of California Forms for Graduate Students:
         Declaration of Domestic Partnership - Graduate Students (pdf)
         Termination of Domestic Partnership - Graduate Students (pdf)
    -  For natural child, a birth certificate showing the student is the parent of the child
    -  For stepchild, a birth certificate, and a marriage certificate showing that one of the parents listed on the birth certificate is married to the student
    -  For adopted or foster child, documentation from the placement agency showing that the student has the legal right to control the child's health care
  • Enrollment Forms
    The below forms contain the contact information for AHP, as well as the costs and dates of coverage for voluntary student and dependent enrollment.
    UC SHIP Voluntary Enrollment Form: Undergraduate Students
    UC SHIP Voluntary Enrollment Form: Graduate Students - Quarter
    UC SHIP Voluntary Enrollment Form: Graduate Students - Semester