Montclair State University
STUDENT HEALTH INSURANCE PLAN

Enrollment Form
2025-2026 School Year

The Student Health Insurance Plan will continue to be provided by Aetna Student Health. The plan is ACA compliant and includes access to Aetna's national PPO network of providers. Students do not have to select a primary care physician, and referrals are not required.

The enrollment deadline is September 15, 2025.

PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Please note, your Montclair State University student ID# begins with an "M" followed by 8 digits. You must include the "M" in your student ID number when entering it below.