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Risk Strategies - University Health Plans

Illinois Institute of Technology
STUDENT HEALTH INSURANCE PLAN

2024-2025 Annual Dependent(s) Enrollment Form 
 

If you are enrolled in the Student Health Insurance Plan (SHIP), you may purchase the plan for your eligible dependents through this online form. The deadline to enroll your dependents September 1, 2024 

Asterisk (*) denotes required field

 (MM/DD/YYYY)