Wellesley College
STUDENT HEALTH INSURANCE PLAN
Annual Dependent Enrollment Form
2024 - 2025 Academic Year
TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:
Please note, your Wellesley student ID# begins with a "B" or "C" followed by 8 digits. You must use your Wellesley College email address in the email field.
