George Washington University
STUDENT HEALTH INSURANCE PLAN

Voluntary Student and Dependent Summer Enrollment Form  
2020-2021 Academic Year


Undergraduate students, medical, on-campus nursing, on-campus Health Science, and international students holding a J1 or F1 visa are automatically charged and enrolled in the SHIP. No action is required to enroll unless you are enrolling your eligible dependents. 

The enrollment deadline is May 20, 2021.

TO CONTINUE THE ENROLLMENT PROCESS FOR ALL ELIGIBLE STUDENTS AND THEIR DEPENDENTS PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

 (MM/DD/YYYY)