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- Student Medical Plan Enrollment 

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Welcome to 's Enrollment Submission Page 

​The enrollment deadline is .

Before you get started:

  • ▪ You will need your Student ID and Date of Birth available to complete the enrollment.
  • ▪ On the following page, click the magnifying glass button to look up your record using your Student ID and Date of Birth.
  • ▪ Complete as many fields as possible. Required fields are noted in bold with a red asterisk.
  • ▪ Type your name in the Signature field.
  • ▪ Click the submit button to complete your enrollment.

Click the button below to begin your enrollment!