Skip to main content Skip to main menu

Simmons University
STUDENT HEALTH INSURANCE PLAN

Undergraduate Student
Annual Enrollment Form 
2026-2027 Academic Year


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

Please note that if you just registered for classes, you will have to wait a week to complete the form. Simmons University updates the authorization list for form access once a week.

Asterisk (*) denotes required field

 (MM/DD/YYYY)