Cambridge College
STUDENT HEALTH INSURANCE PLAN
Dependent Enrollment Form
2022-2023 Academic Year
Students who are eligible for the Cambridge College Student Health Insurance Plan (SHIP) may use this form to enroll eligible dependents in the plan. Eligible dependents are the spouse, domestic partner, or child(ren) under age 26.
TO CONTINUE THE DEPENDENT ENROLLMENT PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:
Student Health Plan
- Voluntary Student Enrollment Form
- Dependent Enrollment Form
- Qualifying Event Enrollment Form
- Provider Search
- Care Connect - Behavioral Health Hotline
- Travel Assistance
- Claims Portal