FTGA Health Benefit Opt In

    Form used for full-time GA's to opt into health benefit.  
    Full-Time Graduate Assistantship Health Insurance Benefits

    As a full-time graduate assistant you are eligible for a health insurance benefit. The benefit will cover the full cost of the graduate student health insurance premium during the period in which you remain a full-time graduate assistant. Full-time is defined as:
    • Enrolled full-time (9 hrs. or late-stage doctoral students taking dissertation credits)
    • with a 20 hr a week graduate assistantship contract (or multiple contracts that add up to 20 hrs a week). 
    • Receiving full tuition and fees covered for the courses required for your degree program. 
    • Receiving a stipend
    Cover periods are fall (August 1-December 31) and (January 1-July 31).  

    For information about the health insurance plan and benefits. Please visit here and click on "Explore your benefits"

    A one-time administrative fee of $230 dollars will be required to enroll. This will be the responsibility of the full-time graduate assistant. This will be deducted from the student's first paycheck.  

    Please fill out the information below and click "opt in". By opting into the University of Memphis Full-Time Graduate Assistantship Health Benefit you are certifying that you do not have other comparable health insurance options.  

    Once you have submitted this form an account will be set up in the Wellfleet system for you and you will receive an email from Wellfleet to confirm you enrollment and access your health insurance card, etc. Please do not attempt to enroll in the health insurance ahead of time. Please wait for instructions from Wellfleet.
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