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MCPHS University
Student Health Insurance Plan

Summer 2024 Waiver Form


According to the Commonwealth of Massachusetts and MCPHS University policy, all students (regardless of enrollment) must be covered by a comprehensive health insurance plan which meets these standards. The University makes available a health insurance plan which meets these standards. To waive coverage, please provide the information below.

The  waiver form deadline is May 15, 2024


TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Please note that your student ID is 7 numerical digits (example: 0123456)

Asterisk (*) denotes required field

 (MM/DD/YYYY)