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SALEM STATE UNIVERSITY
STUDENT HEALTH INSURANCE PLAN

Spring Waiver Form 
2023-2024 Academic Year

Massachusetts Law requires that all students need to be enrolled in a health insurance plan while attending college. Students are not required to enroll in the Student Health Insurance Plan made available through the university if they can document proof of other comparable coverage by completing the online Waiver Form below.

If the student is a minor, then the parent or guardian must complete this form.

NOTE: ALL INTERNATIONAL STUDENTS ARE REQUIRED TO ENROLL IN THE STUDENT HEALTH INSURANCE PLAN.  IF YOU ARE AN INTERNATIONAL STUDENT PLEASE CLICK ON THE LINK FOR THE ENROLLMENT FORM ON THE LEFT-HAND SIDE OF THE PAGE.

The following students cannot waive the Student Health Insurance Plan:

  • International students
  • Students with Health Safety Net, MassHealth Limited or Children's Medical Security
  • Students with travel insurance; and
  • Students with foreign-based insurance

If you have any questions about the waiver process, please contact University Health Plans at 833-251-1141 or by email at info@univhealthplans.com.


To continue the waiver 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)