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. 

Email *
GSSP early GSHI Activation summary
Student Name *
Student ID number *
Does the student have an active GSSP qualifying appointment for the upcoming fall term? (If no, please do not submit form) *
Is the student enrolled full time for the upcoming fall term? (if no, please do not submit form) *
Is the student slot-funded for the upcoming fall term? (if yes, please do not submit form) *
What project is paying the student's stipend? *
When does the student need early insurance? *
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