Student Health Insurance Information for Students of

University of California, Santa Barbara

Brochures, applications, ID cards, and claim forms are available to download in PDF Format. You must have Acrobat Reader to view documents. If you do not have Adobe Acrobat reader, click on the icon below to install.

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Brochures

Select a plan below to view the on-line brochure.

Please note that on-line brochures provide a brief description of benefits under the school's plan of insurance. Coverage is governed by a policy or certificate that contains all provisions, exclusions and qualifications of insurance benefits, some of which may not be included in the brochure.

See your school's insurance coordinator to review a copy of the certificate or policy. Individual certificates are not issued.

ID Cards
To download your permanent ID card please click here

To download a generic ID card please click below:
Claim Forms

To submit a claim, please print and complete the claim form below and send to:

Personal Insurance Administrators                                                                                                                  
PO Box 6040
Agoura Hills, CA 91376-6040
1-800-468-4343

Privacy Notices

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Links

UC Santa Barbara Website

Personal Insurance Administrators (Claims Administrator)

CFMC - Preferred Provider Organization (PPO) Search (Inside California for GSHIP/USHIP Plans)

Beech Street - Preferred Provider Organization (PPO) Search (Outside California for GSHIP/USHIP Plans)

CCN - Preferred Provider Organization (PPO) Search (For Extension & IEP Plan)

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