Massachusetts College of Liberal Arts
STUDENT HEALTH INSURANCE PLAN

2016-2017 Policy Year
Annual Term

The Annual Term 2016 Waiver Deadline Date is September 26, 2016

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.

All New and Returning Students for the 2016-2017 Academic Year must either:

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

New and Returning Students for 2016-2017 Academic Year who fail to complete the on-line enrollment or waiver form by the deadline date of  September 26, 2016 will automatically be enrolled in the MCLA’s Student Health Insurance Plan for the Annual Term of coverage (08/01/16 – 07/31/17), 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 Annual Term of Coverage 8/1/16 – 7/31/17
Student Only $2,511

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

If you are covered by MassHealth (other than Health Safety Net, MassHealth Limited, or Children’s Medical Security Plan), you may be eligible to enroll in the Student Health Insurance Plan (SHIP) and have the premium paid by MassHealth Premium Assistance. To see if you’re eligible, select the Waiver Form or Enrollment Form link and follow the prompts.

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