2024-25 GSHI Award Submission Form

Submit your GSHI Award Offer Letter for the 2024-25 academic year here. If you are a returning student, and your program has not yet provided you with a GSHI offer letter, then you will need to submit your stipend (graduate assistantship or fellowship) offer letter here to confirm your eligibility.

Please answer the following questions with responses that verify your eligibility. All questions with answers are mandatory.

Please be advised that failure to meet all eligibility requirements will result in the revoking of your GSHI Award for the semester.

NOTE: The Graduate College does not administer UC Student Health Insurance. For questions about or issues with UC SHI enrollment, contact studins@ucmail.uc.edu or (513) 556-6868.

Upload your offer letter here. If you have a GSHI Award offer letter for the 24-25 AY, upload that letter here.

If you do NOT have a GSHI Award offer letter, then upload your GA or fellowship offer letter below. The offer letter must explicitly state the employment title (for GA positions) or award name (for fellowships); the stipend amount; and the term(s)/dates over which the stipend will be paid.

If the stipend offer letter is not for the 24-25 AY, then you will need your program to contact gshi@ucmail.uc.edu to verify that your position/fellowship has been renewed for the 24-25 AY.

Offer letters for hourly student worker positions and tuition scholarships will NOT be accepted. (Questions or concerns? Email gshi@ucmail.uc.edu)

Upload your GSHI Award offer letter or your stipend (GA or fellowship) offer letter here.*

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I will maintain university student health insurance coverage during my assistantship/fellowship period (Fall and/or Spring semesters).*

I agree

I understand that the GSHI award will only pay against the UC student health insurance charge. I understand that if I waive UC SHI, my GSHI award will be REMOVED for that semester.*

I agree

I will enroll in at least TEN (10) graduate credit hours per semester. I will maintain this level of enrollment throughout the entire semester.*

I agree

I understand that failure to meet all eligibility requirements in either semester (Fall and/or Spring) will result in the REVOKING of my Graduate Student Health Insurance Award for that semester.*

I agree

Please provide the information requested below. All starred fields are mandatory.

Name*

First NameLast Name

UC ID (M-number)*

Include the M. M-numbers are 9 characters.

Confirm UC ID (M-number)*

Include the M. M-numbers are 9 characters.

UC E-mail*

I anticipate being eligible for the GSHI Award funds for:*

Fall 2024 AND Spring 2025 SemesterONLY Fall 2024 SemesterONLY Spring 2025 Semester

I have purchased or will purchase:*

Single student coverage (default UC SHI coverage, for only myself)UC SHI coverage for myself AND at least one other person (dependent/spouse)

Please notify gshi@uc.edu if you decide to change your coverage level after submitting this application, or if you experience a change in eligibility for the GSHI Award.