International Health Insurance

The International Enrollment Form must be submitted through before payment is made to ensure proper credit.

For verification, please provide date of birth and UB person number.

If you are a UB department making payment on an invoice, please be sure to enter invoice number for processing.

Fields with asterisk are required.

Please provide the email of the primary contact for your family. This information will be used to check-in to the event. The confirmation of this order will be sent to this email address.

The price must be from $0.00 to $2,500.00