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GSSP early GSHI activation
This form is to request that the graduate school activate Graduate Student Health Insurance (GSHI) on the RA-TA plan prior to the student's first semester in a graduate degree program. To qualify:
- Must be a brand new graduate student
- Must actively meet all GSSP requirements for the upcoming fall term, including having an active qualifying appointment (approved by all parties) and full-time enrollment
- Must be funded from a non-slot source.
(For more information on funding sources, see:
https://grad.ncsu.edu/graduate-student-support-plan-funding-structure/
)
- MUST have US address listed in MyPack Portal.
We will stop accepting requests for Fall 2025 early activation on July 7.
* Indicates required question
Email
*
Record my email address with my response
GSSP early GSHI Activation summary
Student Name
*
Your answer
Student ID number
*
Your answer
Does the student have an active GSSP qualifying appointment for the upcoming fall term? (If no, please do not submit form)
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Yes
No
Is the student enrolled full time for the upcoming fall term? (if no, please do not submit form)
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Yes
No
Is the student slot-funded for the upcoming fall term? (if yes, please do not submit form)
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Yes
No
What project is paying the student's stipend?
*
Your answer
When does the student need early insurance?
*
June 1
July 1
Send me a copy of my responses.
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