Massachusetts College of Art and Design
Student Health Insurance Plan
2022-2023 Policy Year Waiver Form
August 1, 2022- July 31, 2023


Massachusetts State Law requires students who are registered for 9 or more credits and in a degree granting program to participate in the health insurance program sponsored by MassArt unless proof of comparable coverage is documented each year.

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

 (MM/DD/YYYY)
 (7 digits including leading zeros)