RHODE ISLAND COLLEGE
STUDENT HEALTH INSURANCE PROGRAM

2018-2019 Policy Period 
August 15, 2018 - August 14, 2018

Waiver Appeal Form

The fall 2018 waiver deadline has passed.

If you pre-registered as an undergraduate student for 9 or more credits by the initial Fall billing period, July 9, 2018, and did not fill out the waiver form by the fall 2018 deadline, September 20, 2018, you have been charged for and automatically enrolled in the student health insurance plan. The fall insurance premium, $739.50, is included on your tuition bill.

If you feel that you have an extenuating circumstance for missing the fall 2018 waiver deadline and are enrolled in another insurance plan with comparable coverage and effective date prior to August 15, 2018 you may be eligible for a late waiver. 

The deadline to submit a late waiver appeal is October 19, 2018. 


Important: Please enter your 7-digit RIC Student ID number with the leading zero in the Student ID field below.  If you do not have this number, please contact the Rhode Island College Bursar's Office.

first name:
last name:
date of birth: (MM/DD/YYYY)
student ID: (7 digits including leading zeros)