Rhode Island College
Student Health Insurance Plan
Qualifying Life Event Enrollment Form

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

Loss of Other Coverage:

• Required Documentation: involuntary loss of coverage letter that includes the student's name and last day of coverage. 

• Effective Date of Coverage: the first day without coverage in the prior plan

Entry into the US:

• Required Documentation: identification page of passport and page with U.S. entry date stamp or documentation of move from prior plan's coverage area. 

• Effective Date of Coverage: date of entry into the US or move from the coverage area

Change in Household:

• Required Documentation: passport stamp entering US. 

• Deadline: entry into the US

• Effective Date of Coverage: date student moves to the US