SALEM STATE UNIVERSITY
STUDENT HEALTH INSURANCE PLAN
2019-2020 POLICY YEAR

Spring Semester Enrollment Form

In order to ensure that all full-time and three-quarter time students have adequate medical insurance while pursuing their academic goals, state law requires that students have coverage, either through the Salem State University Student Health Insurance Plan or another United States-based carrier offering comparable coverage.

By enrolling online you confirm your acceptance of the plan and your tuition bill will be charged accordingly. You will be assigned a member id number and your name will be submitted to Blue Cross Blue Shield to be added to the doctor and pharmacy databases. An insurance card will be mailed to you within 10-11 business days. The deadline for enrolling in the SHIP is February 22, 2020


To continue the enrollment process, you will need your Student ID number, which can be found on your tuition bill, preceded by the letter "S" (example: S0123456). This ID number is not your social security number or your Connect Card number.

Please be sure to include an "S" at the beginning of your Student ID. It should be an "S" followed by 7 digits.

 (MM/DD/YYYY)