Roger Williams University
STUDENT HEALTH INSURANCE PLAN

New Spring Student Enrollment Form
2022-2023 Academic Year

I want to purchase the Roger Williams University Student Health Insurance Plan. I understand that my student account will be billed the proper amount based on the coverage I elect.

Please enter your 7-digit RWU Student ID and date of birth below. New students enrolling at RWU for the 2022-23 academic year will be able to access the form once you receive your RWU student ID number, which will be included in a separate mailing once RWU receives your deposit.

Plan Change for 2022-2023The prescription drug copayments will change to Tier 1: $15 copay, Tier 2: 20% coinsurance, Tier 3: 20% coinsurance. Use the Prescription Info link on the left to determine your medication’s tier. 

 (MM/DD/YYYY)