SALEM STATE UNIVERSITY
STUDENT HEALTH INSURANCE PLAN
2017-2018 POLICY YEAR

Spring Waiver Form

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 college if they can document proof of other comparable coverage by completing the online Waiver Form below.

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 Waiver deadline is February 23, 2018.

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 question about the waiver process, please contact University Health Plans at 800-437-6448 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.

date of birth: (MM/DD/YYYY)
student ID: