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The College of New Jersey
STUDENT HEALTH INSURANCE PLAN

Enrollment Form
2025-2026 School Year

The enrollment deadline is September 19, 2025.  PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

The login requires your PAWS ID and birthdate, and you must also be enrolled full-time. If your birthdate is not in PAWS, you will need to add this information to PAWS. You will not be able to log in for approximately 24-48 hours after adding your birthdate or after enrolling full-time.

Asterisk (*) denotes required field

 (MM/DD/YYYY)