WASHINGTON COLLEGE

STUDENT HEALTH INSURANCE PLAN 
2024-2025 POLICY YEAR ENROLLMENT FORM

All full-time students enrolled for a minimum of 12 credit hours will be automatically charged the annual insurance fee. Domestic students who do not intend to waive the insurance and and would like to be enrolled  as well as all international students are encouraged to submit this enrollment form to confirm and expedite the processing of your enrollment. Eligibility will be confirmed with the College bin July prior to processing. Student who do not take any action will not be automatically enrolled until after the deadline.

The deadline to submit the 2024-2025 policy year enrollment confirmation form is July 15, 2024.

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