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Risk Strategies - University Health Plans

University of Massachusetts - Dartmouth
Student Health Insurance Plan
2024-2025 Policy Year Enrollment Form

Important Information Regarding Fall 2024 and Spring 2025 Health Insurance Charges
  • Students will be billed the Student Health Insurance fee based on eligibility each term.
  • The fall insurance fee, $1,179.45 covers the fall term: August 1, 2024 through December 31, 2024.
  • The insurance fee for returning spring students, $1,609.23 will cover the spring term: January 1, 2025 through July 31, 2025.
  • Families and students are reminded to budget wisely. Students may have a credit/receive a refund in the fall term and owe a balance in the spring term.
  • Student graduating or separating from the university after fall term are not insured after December 31st.
  • Eligble fall students: the deadline to waive or confirm enrollment is 10/8/2024. After 10/8/2024, students are automatically enrolled and the charge cannot be waived.
  • New spring students: the deadline to waive or confirm enrollment is 2/25/2025. After 2/25/2025, students are automatically enrolled and the charge cannot be waived.
  • Waiving health insurance in the fall will waive coverage for the entire academic year.
  • ALL students must waive or confirm enrollment in the University’s health insurance coverage every academic year.
  • The insurance fee for new spring students, $1,639.23 will cover the spring term: January 1, 2025 through July 31, 2025.

All full-time and three-quarter time graduate and undergraduate students are required to have comprehensive health insurance coverage in the area of the University. Students who have not filled out a waiver request by October 8, 2024 will be automatically enrolled in the Student Health Insurance Plan and be responsible for the insurance charge as assessed.

By submitting the online enrollment form you confirm your enrollment in the plan and understand your tuition bill has been charged the fall semester insurance fee, $1,179.45, and will be charged the returning spring insurance fee of $1,609.23 if you return as an eligible student for spring. Important: In order to remain insured for both fall and spring semesters, students must be registered for both semesters and must maintain the required number of credits. Students who are not registered for spring or are not registered for enough credits for spring semester will be removed from the SHIP as of January 1, 2025.

Important Notes:

  • If you submit this enrollment form you will be enrolled for fall semester coverage. If you return for spring 2025 semester as an eligible student, you will be charged for and re-enrolled for spring semester coverage. The annual coverage period is August 1, 2024 through July 31, 2025.
     
  • If you graduate in the fall 2024 semester, do not return to UMassD as an eligible student for the spring 2025 or are not registered for the eligible number of credits for spring semester you will not be charged the spring insurance premium and coverage will be terminated as of December 31, 2024. You must remain an eligible student for the spring semester to continue enrollment in the plan in the spring.
  • If you have a dependent(s) enrolled in the plan, your dependent will no longer be eligible for coverage in the spring if you are not a registered student in the spring semester.


The deadline for confirming enrollment in the SHIP is October 8, 2024.

PLEASE FILL OUT THE REQUIRED FIELDS BELOW TO CONTINUE THE ENROLLMENT PROCESS:

Asterisk (*) denotes required field

 (MM/DD/YYYY)

 

Student Health Plan

Optional Plans

Additional Information

University Health Plans Broker License # 000123936000
William E. Devine Broker License # 34773