Student Health Insurance Enrollment for:

Choate Rosemary Hall

Sickness and Accident Coverage for the 2006-2007 School Year

Open Enrollment Begins June 15, 2006

MANUAL ENROLLMENT

Download the printable version of enrollment form (PDF format). Complete it and send it to the address indicated on the form along with your premium payment check or credit card information to the address indicated on the form. You may also enroll by telephone, if you pay by credit card (Visa or Mastercard only), by calling 1-860-278-1320 and requesting "Student Health Insurance."

Download PDF file enrollment form(Acrobat Reader required)

If you do not have Acrobat Reader, download a free copy from www.adobe.com