Assistantship Insurance Information Form

If you have an assistantship and are covered through UWM Employee Health Insurance, you are required to purchase supplemental evacuation and repatriation  insurance. Once you have chosen and signed up for the employee health insurance, please fill out this form completely and submit.It may take up to TWO weeks for the health insurance charges to be removed from your tuition bill.

You also will use this form if you are covered under a family member’s insurance plan.

If you were unable to upload documents please email copies of Graduate Assistantship contracts, benefits apps, health insurance cards (back & front), etc. to Che Huewitt at chuewitt@uwm.edu.