University of Miami Students Dental & Vision Insurance

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Welcome to the University of Miami student information portal for the request of Dental and Vision Insurance through UnitedHealthcare. Our online request form is a convenient, secure and private process for inquiries about student benefit plans. To begin the request process, please read our “what you need to know” and then provide us with the following:

First Name:*
Last Name:*
Address*
Street Address City State ZIP Code
Telephone*
Email Address*
Date of Birth*
SSN# (9 digits)*
Student ID#*
Contract Number
Group Name*
To enroll, please provide us with a copy of proof of attendance or your official class schedule issued by the Registrar's Office.*
Yes, I want to enroll*
- Dental Only – Monthly Premium $10.69 (Single)
- Vision Only – Monthly Premium $7.64 (Single)
- Dental Only – (FAMILY) Monthly Premium $23.73 (Additional documentation required)
- Vision Only – (FAMILY) Monthly Premium $16.06 (Additional documentation required)
- Yes, I agree to these Terms of Use
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(All inquiries are confidential)
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