University of Massachusetts - Dartmouth
Student Health Insurance Plan
​2025-2026 Policy Year Waiver Form

This form is for new spring students only.

• If you were an eligible student for fall 2025 and completed the waiver form by the fall deadline, the waiver will be automatically applied to the student account for spring, no action is needed
• If you were an eligible student for fall 2025 and did not submit the waiver by the fall deadline, you are not eligible to submit this form. Please contact University Health Plans for assistance.

New Spring Students: All full-time and three-quarter time graduate and undergraduate students must either waive or enroll in the UMassD Student Health Insurance Plan (SHIP) at the beginning of each academic year.

The following students who are taking at least one class on campus are eligible and must either waive or enroll:

• Matriculating undergraduate students enrolled in 9 or more credits
• Matriculating graduate students enrolled in 7 or more credits (Matriculating graduate students taking 6 credits are not automatically enrolled but may contact the Bursar’s Office if interested in enrolling in SHIP).
• Matriculating School of Law students enrolled in 9 or more credits
• All matriculating international students regardless of credit hours will be enrolled in the Student Health Insurance Plan.

Part-time study, independent study, internet classes and television (TV) courses may not fulfill the eligibility requirements that the covered student actively attends classes. Students taking only on-line classes are not eligible for school insurance.

New spring students who have other comparable health insurance coverage and do not want to be enrolled in the UMassD SHIP must submit this online Waiver Form by the spring deadline, February 4, 2026. There will be NO EXCEPTIONS after this deadline.

This is the only way to request the removal of the spring 2026 UMassD SHIP charge from a student's account. Submitting a copy of your insurance ID card through the Health Services Portal does not satisfy the requirement to waive the SHIP.

Your health insurance plan must meet the below requirements to waive the Student Health Insurance Plan:

• Be a US health insurance plan that is filed and approved in the US. Travel insurance and short-term limited duration plans are not accepted
• Provide coverage for the entire policy period with no break in coverage. 
• Comply with the Affordable Care Act (ACA) and provide minimum essential coverage as defined by the ACA including:
  • Provide an unlimited policy maximum
  • Include coverage for pre-existing conditions
  • Provide emergency and non-emergency care in the area of the University

WAIVER DEADLINE: February 4, 2026

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