George Washington University
STUDENT HEALTH INSURANCE PLAN

Spring Voluntary Student and Dependent Enrollment Form  
2022-2023 Academic Year


Undergraduate students, medical, on-campus nursing, on-campus Health Science, and international students holding a J1 or F1 visa are automatically charged and enrolled in the SHIP. No action is required to enroll unless you are enrolling your eligible dependents. 

The enrollment deadline has been extended to February 15, 2023.

TO CONTINUE THE ENROLLMENT PROCESS FOR ALL ELIGIBLE STUDENTS AND THEIR DEPENDENTS PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Please note, your George Washington student ID# begins with a "G" followed by 8 digits.

 (MM/DD/YYYY)