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New Student Enrollment Application:

Please view and complete the enrollment application below:

TAMU Medical Student Health Plan Enrollment Application

New Student Information

  • You will need to complete your enrollment forms and return the Automatic Payment System Form (APS) if you wish to have the monthly health insurance and optional dental insurance premiums deducted from a checking account. A checking account may be your own, your parents or another person who will be paying your monthly premium. Bank drafts occur between the 4th and 9th of each month.

  • You may also pay for the entire school year by submitting a personal check or money order, payable to the Insurance Company of Scott & White (ICSW) for the correct amount and include your payment with the enrollment form

  • Please return your enrollment forms, APS form, or a personal check or money order for the entire school year. You may email the forms to, fax to (512) 930-6055, or mail the completed forms to one of the addresses below. Click here to download enrollment forms.