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Rhode Island School of Design

Pre-College Summer 2024 Program

Student Health Insurance Plan Enrollment Form


The enrollment deadline date is June 15, 2024If you purchase the plan now, your coverage will be effective 06/28/24 - 08/03/24.

 


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

Asterisk (*) denotes required field

STUDENT INFORMATION

 (MM/DD/YYYY)