Skip to main content Skip to main menu

Rhode Island School of Design

Pre-College Summer 2025 Program

Student Health Insurance Plan Enrollment Form


The enrollment deadline date is June 15, 2025If you purchase the plan now, your coverage will be effective 06/28/2025 - 08/02/2025.

 


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

Asterisk (*) denotes required field

STUDENT INFORMATION

 (MM/DD/YYYY)