Montserrat College of Art
STUDENT HEALTH INSURANCE PLAN

​Annual Waiver Form
2024-2025 Academic Year

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

Please note, your student email address is your firstname.lastname@montserrat.edu.  If you are a new student, you don’t need access to your Montserrat email to complete the waiver; you only need to type it in the fields when prompted.