Rhode Island College
Student Health Insurance Plan
Qualifying Life Event Enrollment Form
2024-2025 Academic Year

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. 

• Deadline: 60 days from the last day of coverage in the prior plan

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

Change in Household

• Required Documentation: passport stamp entering US. 

• Deadline: entry into the US

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