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St. John’s College - Annapolis
Student Health Insurance Plan
2024-2025 Academic Year
Annual Enrollment Form


All Domestic Graduate, Undergraduate and Part-time Students taking 3 or more credit hours are required to purchase this insurance plan unless proof of comparable coverage is furnished by submitting a waiver form. All International Students are required to enroll in the Plan and may not waive.

Enrollment in the Student Health Plan will not be processed until after the posted deadline. To expedite the processing of your enrollment, St. John's College requires student to complete this enrollment form. The student account will be billed the student only annual insurance fee.

The deadline to submit the enrollment form for the 2024-2025 policy year is August 5, 2024.

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

Asterisk (*) denotes required field

 (MM/DD/YYYY)