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Dependents

Eligible students who do enroll may also insure their dependents. Eligible dependents are the spouse or same-sex domestic partner and dependent children under 26 years of age. This enrollment must occur at the same time as the student enrollment is completed. An insured student may cover a newly acquired dependent within 30 days of marriage, birth or other acquisition of a dependent by visiting the Student Insurance Office in PUSH -Room 338/340. At that time, documentation must be provided to the staff to show eligibility. Dependent eligibility expires concurrently with that of the insured student. Graduate Staff need to complete this form.

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Purdue University Student Health Center, 601 Stadium Mall Dr, West Lafayette, IN 47907, (765) 494-1700
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