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Indiana University
INTERNATIONAL STUDENT & SCHOLAR
INSURANCE PLAN

Visiting Scholar Enrollment Form
2025-2026 Academic Year

Enter the 2025-2026 visiting scholar enrollment code below. Only the international office on your campus can give you the enrollment code and permission to access the enrollment form.  

If you need to enroll in coverage before August 1, 2025, click HERE to access the 2024-2025 enrollment form. 

OPT students cannot use this form and must use the OPT Semester or Qualifying Event Enrollment Form 

Asterisk (*) denotes required field

SCHOLAR / STUDENT INFORMATION

 (MM/DD/YYYY)