WWAMI United Healthcare Enrollment Form

About 乐播传媒

As a comprehensive, open access, public institution offering everything from short-term workforce credentials to graduate programs, 乐播传媒 invites students to define their journey, create their community, and prepare to make an impact in Alaska and beyond. Striving to be a place where every person who wants an education can be successful, 乐播传媒 transforms the lives of its students and communities, while honoring our locations on the ancestral lands of Alaska’s First Peoples.

Popular links
About 乐播传媒
1. Green and Gold News
Administration
Campuses
乐播传媒 2027: Strategic Plan

If you see this don't fill out this input box.

WWAMI students are invited to enroll in the 乐播传媒 Graduate Student Healthcare Benefits Plan.

乐播传媒 Student ID Numberrequired

Provide 乐播传媒 Student ID Number. (Do not use your UW ID Number.)

Last Namerequired

First Namerequired

Middle Initial required

If you do not have a middle name, please enter N/A

Date of Birthrequired

MM/DD/YYYY

Genderrequired

This insurance requires a selection of M for male or F for female.

Current Street Addressrequired

Current Street Address (continued)

Choose: Apt #, Building #, Suite #, Space #, etc.

Cityrequired

Staterequired

Zip Coderequired

Preferred Email Addressrequired

Telephone Numberrequired

Format: (XXX) XXX-XXXX

Coverage periods are only available under the current academic year's policy.

Date Monthly Coverage Begins

If monthly coverage is selected, please specify the date coverage should begin.

Date Monthly Coverage Ends

If monthly coverage is selected, please specify the date coverage should end.

乐播传媒