THE NEW SCHOOL
STUDENT HEALTH INSURANCE PLAN (SHIP)
SPRING 2023 POLICY PERIOD
OPT STUDENT ENROLLMENT FORM


Students participating in OPT are eligible to enroll in the SHIP for up to one consecutive year and initial enrollment must occur in the semester immediately following your enrollment as a student under the plan.

Students who first enrolled in the SHIP as an OPT student for fall 2022 AND students who completed their studies in fall 2022 and are newly approved and participating in OPT for spring 2023 are eligible to enroll in the Student Health Insurance Plan at this time. Once you are approved for OPT and have received your Employment Authorization Document (EAD) card, you may submit this OPT Health Insurance enrollment form. Please remember that to continue your health insurance during OPT, you must have been enrolled in New School health insurance during your final semester of study.

The deadline to enroll is April 1, 2023.


TO CONTINUE THE ENROLLMENT PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW :

 (MM/DD/YYYY)