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BRYANT UNIVERSITY
STUDENT HEALTH INSURANCE PLAN

Annual Enrollment Form for Domestic Students
2024-2025 Academic Year

International students do NOT use this form to enroll; you are automatically enrolled by Bryant University.

THE ENROLLMENT DEADLINE DATE IS OCTOBER 31, 2024.

 
 

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

Asterisk (*) denotes required field

STUDENT INFORMATION

 (MM/DD/YYYY)