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St. John’s College - Annapolis
Student Health Insurance Plan
2023-2024 Academic Year
Graduate Summer Enrollment Form


All Domestic Graduate, Undergraduate and Part-time Students taking 3 or more credit hours are required to purchase this insurance plan unless proof of comparable coverage is furnished by submitting a waiver form. All International Students are required to enroll in the Plan and may not waive.

Enrollment in the Student Health Plan will not be processed until after the posted deadline. To expedite the processing of your enrollment, St. John's College requires student to complete this enrollment form. The student account will be billed the student only summer insurance fee.

The deadline to confirm enrollment for the summer 2024 policy period is May 26, 2024.

PLEASE FILL OUT THE REQUIRED FIELDS BELOW TO CONTINUE THE ENROLLMENT PROCESS:

Asterisk (*) denotes required field

 (MM/DD/YYYY)