Rhode Island School of Design
STUDENT HEALTH INSURANCE PLAN

Dependent Enrollment Form 

Summer 2024 Degree Program

Dependent coverage, if elected, begins and ends with the student’s coverage and must be purchased at the same time the student enrolls in the plan. 

The deadline to complete the Dependent Enrollment Form is July 1, 2024.

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