How to Enroll (COBRA)

You must complete a 2017 VRIP Cobra Healthcare Election Form (PDF) and submit it to Human Resources.  If we do not hear from you by November 23, your 2017 elections will default to your current 2016 elections.

Please submit the form to Human Resources via:

In-Person/Mail: Fax: Email

Wright State University
3640 Colonel Glenn Hwy
Building 2455, Suite 221
Dayton, OH  45435-0001