Travel Health Insurance Application Form
This form helps to sign you up for the University's travel health insurance.
THE FORM IS FOR SCHOOL OF MEDICINE STUDENTS AND FACULTY ONLY!! If you are not in the School of Medicine, please contact the Study Abroad office for more details. IF YOU ARE A UNC PHYSICIAN RESIDENT, click here to access the resident form.
Students are required to purchase travel health insurance through UNC School of Medicine if they are receiving academic credit or funding from UNC, or if they are acting in the role of a medical student. For example, students are required to purchase travel health insurance through UNC if they are participating in a program like Himalayan Health Exchange, Interhealth South America, International Health Partners , IFMSA or any other program where the student is identified as a medical student – regardless of funding or academic credit. If none of these categories applies to you, you are uneligible for the special UNC rate at HTH, but can call them directly at the information below.
If you would like to have additional coverage beyond the maximum coverage dates stated below, you can contact the insurance provider, HTH, directly. For an overview of what this insurance covers, please see the HTH study abroad brochure.
The current rates are as follows:
Full Coverage = $1.42 per day
Faculty/Staff Coverage = $2.95 per day
For more detailed information on costs, see the(being updated).
After submitting this form, you will receive an email (usually within 5-10 days) stating the amount of money you will need to pay for travel insurance. You will need to pay online or drop off the check at the Office of International Affairs in 1066 Bondurant Hall. You are also required to sign the Code of Conduct form, register with the UNC Global Travel Registry and sign the imbedded Travel Waiver form. If you are a student, you will also receive an email giving you access to the GLBE999.MOD.1112 Sakai Site where you will find the two required travel modules and corresponding quizzes.
Once this form has been processed and you have completed all other requirements, you will be eligible to apply for credit for your overseas course.