Student Insurance Registration

The enrollment button below is for undergraduate and graduate students participating in university-related programs or activities abroad.

About the Application

The insurance application cannot be saved. Registrants should have all information in advance. Please refer to the list below for the information you will be asked to supply when enrolling.

  • Arrival and departure date(s)
  • Location(s) of travel
  • Date of birth
  • Gender
  • UIN
  • Passport number and expiration date
  • Upload a scanned copy of your passport
  • Upload a scanned copy of the "EU GDPR Acknowledgement and Consent Form"
  • CFOP (Must be entered in the billing questionnaire if the department/unit will pay for students)
  • In-country address and phone number
  • Emergency contact name, address, phone number, and relationship to registrant

EU GDPR Acknowledgement & Consent

If you are traveling to a country in the European Union (EU) or the European Economic Area (EEA), you must download and sign the EU GDPR Acknowledgement and Consent Form (PDF).

  • European Union countries: Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, and the United Kingdom.
  • European Economic Area countries: EU countries (above) plus Iceland, Liechtenstein, Norway, and Switzerland.

Enroll Now


After you Enroll

Travelers will receive immediate confirmation of their enrollment via email from the university. The university will process the enrollment and travelers will receive an email from "accouncements@gallagherstudents.com" with necessary information within five business days.

Questions

Please contact us.