Montclair State University
STUDENT HEALTH INSURANCE PLAN

Enrollment Form
2026-2027 Academic 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 14, 2026.

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.