Cambridge College
STUDENT HEALTH INSURANCE PLAN

Annual Waiver Form 
2021-2022 Academic Year

To be considered comparable, your plan must:

  • Provide insured benefits for preventive and primary care, emergency services, surgical services, hospitalization benefits, ambulatory patient services, mental health services, and prescription drugs near the Cambridge College Campus. 
  • Be compliant with the Affordable Care Act (ACA), filed and approved in the US

Emergency-only coverage near the Cambridge College Campus does not meet the waiver requirements.

Your waiver submission will be reviewed. If approved, it may take an additional 5 business days for the adjustment to be made to your student account at Cambridge College. 

Students who are enrolled solely in an online program are not required to have health insurance and do not need to complete the waiver.

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

Asterisk (*) denotes required field

STUDENT INFORMATION

 
 (MM/DD/YYYY)