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Rhode Island College
Student Health Insurance Plan

Spring 2026 Policy Period
Voluntary Student Enrollment Form

ENROLLMENT DEADLINE: FEBRUARY 23, 2026

This form is for new spring students only. Eligible spring part-time, non-degree and graduate domestic students carrying a minimum of six (6) credit hours who are not automatically charged for spring coverage but meet eligibility requirements to enroll.

Eligibility will be confirmed with the school prior to processing. If you were eligible for fall semster and did not enroll by the fall deadline, this enrollment will not be processed. 

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

Important: Please enter your 7-digit RIC Student ID number with the leading zero in the Student ID field below.  If you do not have this number, please contact the Rhode Island College Bursar's Office.

Asterisk (*) denotes required field

STUDENT INFORMATION

 (7 digits including leading zeros)
 (MM/DD/YYYY)