Simmons University

Undergraduate Student Health Insurance Plan 
Spring Enrollment Form
January 1, 2023 - August 14, 2023


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

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

 (MM/DD/YYYY)