Enroll your dependents in health insurance offered through SUNY. This form is for dependents of international students and scholars, and dependents of faculty/staff going abroad
If you did not yet read the informational insurance information, please do that before completing and submitting this form.
You can only enroll your dependents after you have been enrolled in SUNY health insurance by the Student Health Insurance Office.
For help understanding and navigating the health insurance process.
Student Health Insurance Office
University at Buffalo
Buffalo, NY 14260-2100
Phone: (716) 645-3036