Curry College

2019-2020 Policy Year
Student Health Insurance Enrollment Form

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

Please note, in order to be eligible for the Curry College student health insurance plan you must be an undergraduate student enrolled in 9 or more credits. Graduate students are not eligible for the Curry College student health insurance plan as these programs are made up of short term courses that meet once a week for 15 weeks or less per semester. After completion of your enrollment form your status will be confirmed by the College. If you are not eligible for the Curry College student health insurance plan you will be notified and your enrollment will not be processed. The deadline to enroll September 13, 2019. 

Your Curry College stduent ID# is an 8 digit # beginning with "@"

Asterisk (*) denotes required field

STUDENT INFORMATION

 
@
 (MM/DD/YYYY)