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Fall 2008 The benefit change period deadline is 09/21/2008. |
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Waiver Form |
This waiver form is required of anyone NOT participating in the CampusCare program. |
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Reinstatement Application Form |
This form is for students who had formerly waived out of the CampusCare program and now wish to be reinstated. |
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Dependent Enrollment Form |
This form allows enrollment of a student's spouse and/or children. |
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Dependent Disenrollment Form |
This form allows previously enrolled dependents to be disenrolled. |
![]() report technical problems to: Webmaster _______________________ About CampusCare | Forms | ID Cards | Benefits | My Claims | Contacts | Providers | FAQs | Transition Benefits | Search This site is maintained by: The Office of CampusCare, University of Illinois Medical Center at Chicago, Chicago, IL |