Roger Williams University
STUDENT HEALTH INSURANCE PLAN


Spring Enrollment Form for Full Time Graduate (non Master in Architecture or School of Law) Students

2018-20189 Academic Year

All full-time Graduate with 6+ credits (non-Master in Architecture or School of Law) are encouraged, but not required, to enroll in the University-sponsored Student Health Insurance Plan. Students who wish to enroll in this plan voluntarily may purchase this insurance directly through University Health Plans. Please continue and complete the following enrollment form. The deadline to enroll in the plan is January 23, 2019.

NOTE: All full-time undergraduate students (residential and commuter), Master in Architecture students, all School of Law students and all International students on and F-1 or J-1 visa, are automatically enrolled in and billed by RWU for the plan unless coverage has been specifically waived. This voluntary online student enrollment option is available to full time Graduate students not not mandated to have insurnce.

Please enter your 7-digit RWU Student ID and date of birth below. new students enrolling at RWU for the 2018-19 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.

date of birth: (MM/DD/YYYY)
student ID: