MASSACHUSETTS COLLEGE OF LIBERAL ARTS
STUDENT HEALTH INSURANCE PLAN
2019-2020 Policy Year
Annual Term Enrollment Form
New incoming and returning students for Fall Term 2019
TO CONTINUE THE ENROLLMENT PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:
Student Health Plan
- Waiver Form / MHPA
- Enrollment Form
- Provider Search
- Worldwide Providers &
Travel Assistance - Insurance ID Card
SHIP Premium Assistance for MassHealth Members
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.