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Roger Williams University
STUDENT HEALTH INSURANCE PLAN

Qualifying Life Event Enrollment Form
2025-2026 Academic Year

If you have a qualifying life event outlined below, you may qualify for special enrollment rights to enroll in the student insurance plan outside of the initial enrollment period. 

Loss of Other Coverage:
  • Required Documentation: loss of coverage letter that includes your name and your last day of coverage
  • Deadline: 31 days from the last day of coverage in the prior plan
  • Effective Date of Coverage: the first day without coverage in the prior plan
Change in Residence (moving from coverage area)
  • Required Documentation: If moving within the US: travel documentation confirming a move to RI and documentation of active insurance coverage that does not provide coverage in RI. 
  • Deadline: 31 days from the move from the coverage area
  • Effective Date of Coverage:  the date yoou move out of other plan's service area. 

To access the form, go to the Roger Williams University login page by clicking on the link below. Note: New students enrolling at RWU can access the form once you receive your RWU student ID number, which will be included in a separate mailing once RWU receives your deposit.

Roger Williams University Login