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Rhode Island College
Student Health Insurance Plan

Spring 2025 Policy Year
Voluntary Student Enrollment Form

ENROLLMENT DEADLINE: FEBRUARY 23, 2025

This form is for newly eligible spring part-time, non-degree and graduate domestic students carrying a minimum of six (6) credit hours who are not automatically charged for spring coverage but meet eligibility requirements to enroll. Eligible fall students who enrolled for fall only coverage may also use this form to re-enroll for spring.  

If you were an eligible student for fall semester and did not enroll by the fall deadline, you are not eligible to submit this form. If you experienced a qualifying life event, please contact University Health Plans at info@univhealthplans.com or 833-251-1148.

Eligibility will be confirmed with the school prior to processing.

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

Important: Please enter your 7-digit RIC Student ID number with the leading zero in the Student ID field below.  If you do not have this number, please contact the Rhode Island College Bursar's Office.

Asterisk (*) denotes required field

STUDENT INFORMATION

 (7 digits including leading zeros)
 (MM/DD/YYYY)