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RUTGERS UNIVERSITY

2024-2025 Student Health Insurance Plan
PART-TIME FALL STUDENT ENROLLMENT FORM

 

Part-Time Plan Eligibility: Part-time degree-seeking students taking at least 1 credit hour are eligible to enroll in this insurance plan. Online only degree programs and non-matriculated students registered for online courses only, do not fulfill the eligibility requirements. 

Enrollment Deadline: September 25, 2024.

ONCE ENROLLED IN THE STUDENT HEALTH INSURANCE POLICY, COVERAGE CANNOT BE CANCELLED AFTER THE ENROLLMENT DEADLINE OR CLAIMS HAVE BEEN PAID BY UNITED HEALTHCARE, WHICHEVER COMES FIRST.

To continue the enrollment process, please fill out the required fields below:

Please note, your Rutgers student ID# is 9 digits.

Asterisk (*) denotes required field

 (MM/DD/YYYY)