Curry College
STUDENT HEALTH INSURANCE PLAN

Annual Enrollment Form
2022-2023 Academic Year

ELIGIBILITY: Undergraduate student enrolled in 9 or more credits. Graduate students, with the exception of the AE-MSN program, are not eligible for the 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 SHIP you will be notified and your enrollment will not be processed. 

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

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

Asterisk (*) denotes required field

STUDENT INFORMATION

@
 (MM/DD/YYYY)