UMass Dartmouth
Student Health Insurance Plan
2026-2027 Policy Year
Dependent(s) Coverage Enrollment Form
Eligible students who are enrolled in the Student Health Insurance Plan (SHIP) may choose to enroll their dependents.
- Dependent coverage, if elected, begins and ends with the student’s coverage and must be purchased at the same time the student enrolls in the plan. Eligibility will be confirmed.
- Dependents will not be enrolled until the student has been enrolled.
- Payment for the dependent insurance charge must be paid at time of enrollment.
Important Note: Students must be registered and must maintain the required number of credits for both semesters to remain insured for both fall and spring semeters. Students who do not maintain eligibility for spring semester will be removed from the SHIP as of January 1, 2027 and if enrolled, their dependent(s) coverge will be terminated as well.
The deadline to submit the dependent enrollment form for the 2026-2027 policy year is September 14. 2026.
Coverage may be purchased for your eligible dependents after the initial enrollment period only if one of the following qualifying events has occurred during the Policy Year: 1) birth of a child; 2) adoption of a child; 3) marriage; 4) spouse’s/child’s loss of other creditable coverage; or 5) spouse’s/child’s entry into the United States. You must make the request by submitting a “Qualifying Event Enrollment Form” to University Health Plans, with supporting documentation showing that the qualifying event occurred within the last 60 days. Please reach out to University Health Plans for more information, 1-833-251-1124 or info@univhealthplans.com.
PLEASE FILL OUT THE REQUIRED FIELDS BELOW TO CONTINUE THE ENROLLMENT PROCESS:
