Loyola University Chicago

Office for International Programs

Dependent (spouse/child) of Loyola Faculty or Staff

‌‌If a spouse and/or child(ren) are accompanying faculty or staff on an international trip for Loyola University Chicago, you have the option of purchasing CISI. LUC does not cover the cost of insurance for dependents. To enroll, please download this form and send it directly to CISI, along with payment information. Please make sure that the LUC faculty or staff member has registered for insurance first. Your coverage dates should not exceed the LUC employee's coverage dates.

CISI Dependent Enrollment Form 2016

After enrolling you will receive an email directly from CISI with the following:

  • Your insurance card
  • The CISI brochure
  • A letter for the consulate explaining your health care coverage
  • Access to the CISI web portal