Clark University

2017-2018 Academic Year

Dear Student:

The Commonwealth of Massachusetts mandates that all full-time and three-quarter-time students attending an institution of higher education in this state must be enrolled in a qualifying Student Health Plan that meets established minimum benefit guidelines.

All matriculated full-time and three-quarter-time students at Clark are required to carry health insurance and are automatically enrolled in and charged for the Clark University Student Health Insurance Plan. Only matriculated full-time and three-quarter-time students are eligible to purchase this plan.


WAIVER FORM: Complete this form if you have other, comparable coverage and want to remove the $1,679 insurance charge from your student bill.

ENROLLMENT FORM: Complete this form if you want to expedite the processing of your Student Health Insurance enrollment. If you do not complete this form, your information will not be added to the insurance plan system until after the effective date of 8/15/17.

To complete either form, first click on the appropriate blue box on the left ("Undergraduate" or "Graduate"); then select "Waive" or "Enroll"; fill in all required information; and submit the form by clicking "Apply". You have not successfully submitted your form until you reach the confirmation page, which will provide you with a confirmation number. Print your confirmation page.


ACCESS TO CARE IN THE WORCESTER AREA: If you are covered by a health insurance plan outside of the Worcester area, your coverage may be limited or not available while at Clark. This is particularly a concern if you are insured through a Health Maintenance Organization (HMO), such as Kaiser. Please check with your insurance company on possible limitations before submitting a waiver form. Health insurance plans that do not reasonably provide access for all health services to the student in the Worcester, MA area are not eligible for a waiver.

INTERNATIONAL STUDENTS: International students may not waive participation in the student health insurance program online. More information regarding requirements for international students can be downloaded from the Clark University website.

RETURNING STUDENTS: All returning Fall 2017 students needed to submit a new waiver or enrollment form for the 2017-2018 policy year by the final Annual 2017-2018 Waiver Form deadline of September 15, 2017, even if their decision or information has not changed since last year. If you are covered by the Student Health Insurance Plan through August 14, 2017, and do not complete a new enrollment form by the deadline, your insurance will become temporarily inactive until your name is resubmitted and reprocessed. A form MUST be on file for EVERY policy year during which you are a full-time or three-quarter-time matriculated student.

MISSING THE WAIVER/ENROLLMENT DEADLINE: Fall 2017 students who do not complete a health insurance waiver/enrollment form by the deadline of September 15, 2017 (or New Spring 2018 students by the December 15, 2017, deadline), will be automatically enrolled in and charged for the Clark University Student Health Insurance Plan in order for the University to be in compliance with Massachusetts Law. Students looking to waive will not be eligible for a refund for Student Insurance after the deadline of September 15, 2017 (December 15, 2017, for New Spring 2018 students).

GENERAL PLAN INFORMATION: The Clark University Student Health Insurance Plan for the 2017-2018 year was negotiated with University Health Plans, Inc. and Blue Cross Blue Shield of MA. The plan covers students from August 15, 2017, through August 14, 2018, for the Annual Plan and from January 1, 2018, through August 14, 2018, for the Spring Plan. The cost to an individual student is $1,679 for the Annual plan and $1,051 for new students starting in the Spring.

The benefits for this plan can be found by selecting "Brochure" from the menu at the left of this page. The Student Health Insurance Plan covers individual students only and does not provide coverage for their dependents or other family members. To find Blue Cross Blue Shield providers click on the "Find a Provider" link. Should you have any enrollment/eligibility questions, please contact University Health Plans at 800-437-6448 or For questions about benefits and claims, please contact Blue Cross Blue Shield of MA at 888-753-6615.


Student Accounts
Clark University