Massachusetts College of Liberal Arts
STUDENT HEALTH INSURANCE PLAN

2014-2015 Policy Year
Spring 2015 Term

In accordance with Massachusetts State Law, MCLA requires all undergraduate students registered in at least 9 credits and all graduate students registered in at least 7 credits to participate in the Student Health Insurance Plan unless proof of comparable coverage is provided. International students with a J-1 VISA are required to enroll in the Student Health Insurance Plan.

New Spring Students must either:

  • Complete the On-Line Enrollment Form.
  • Complete the On-Line Waiver Form.

New Incoming Students for the Spring Term who fail to complete the on-line enrollment or waiver form by the deadline date of February 13, 2015 will automatically be enrolled in the MCLA’s Student Health Insurance Plan for the Spring Term of coverage (01/01/15 – 07/31/15), and will be billed accordingly. Waivers will not be accepted after the specified deadline, as provided by Massachusetts State Law. Completion of the on-line enrollment or waiver form is required annually.

Health Safety Net is not considered comparable coverage.

Plan Costs Spring Term Coverage 1/1/15 – 7/31/15
Student Only $1,088

In order to waive coverage, be sure that services covered by your current health insurance plan are reasonably accessible in the MCLA area:

  • Lab tests and x-rays
  • Prescription drugs
  • Outpatient hospital services
  • Mental health care
  • Emergency room care
  • Hospitalization (including room and board, physician’s fees, and surgical expenses)

Make sure you have a copy of your current health insurance card, as this card contains the information you will need to complete the waiver:

  • Name of your Insurance Company
  • Claims Street Address/PO Box
  • Telephone Number (800# preferred)
  • Group Name or Group Number (if applicable)
  • Name of Policyholder
  • Policy ID Number

You will receive a confirmation once you have successfully completed the waiver or enrollment process. Please retain this information. If you do not receive a confirmation, you will need to correct any errors and re-submit.


Waiver Form Enrollment Form