Gordon-Conwell Theological Seminary
STUDENT HEALTH PLAN
2019 - 2020 Enrollment Form
Annual Term 2019
Returnung and New incoming Students for Fall Term 2019 taking 6+ credits at both South Hamilton and Boston should complete this form to confirm and expedite enrollment for the GCTS Student Health Plan for the Spring Semester. Dependent coverage may also be elected using this form.
If you do not complete this enrollment form by the DEADLINE of midnight on September 13, 2019 you will be automatically enrolled in the Student Health Plan with a "Student Only" plan. After September 28, 2019, you will not be able to add a dependent to your plan during this academic year unless your dependent has experienced a qualifying event.
TO CONTINUE THE ENROLLMENT PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:
Student Health Plan
- Waiver Form
- Enrollment Form
- Provider Search
- Worldwide Providers &
Travel Assistance - Insurance ID Card
Optional Plans
Additional Information
Insurance members need their insurance ID card number in order to access their account via Blue Cross Blue Shield's website. If you have not received an insurance card in the mail please call either University Health Plans at 1-800-437-6448 or Blue Cross Blue Shield of Massachusetts at 1-888-753-6615.