Cambridge College
STUDENT HEALTH INSURANCE PLAN

Spring 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. 

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

Asterisk (*) denotes required field

STUDENT INFORMATION

 
 (MM/DD/YYYY)