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MGHIHP
STUDENT HEALTH INSURANCE PLAN

2025-2026 POLICY YEAR
REQUEST TO TERMINATE STUDENT HEALTH INSURANCE PLAN


This form is for terminating current coverage, resulting in partial enrollment in the 2025-2026 Student Health Insurance Plan (SHIP). If this is your first semester charged this academic year, please use the waiver form.

Students enrolled in the 2025-2026  (SHIP) can use this form to terminate their coverage at the end of a trimester if they are enrolled in a new comparable health insurance plan with an effective date on or before the next trimester start date of 9/1 or 1/1. The 2025-2026 SHIP ends 4/30, and students wishing to cancel the 2026-2027 SHIP will need to submit a waiver form when available. 

Trimester Fall Spring
Termination Effective Date 09/01/2025 01/01/2025
Termination Deadline September 1st January 1st

If you have any questions regarding this message, please contact University Health Plans at 1-833-251-1129 or info@univhealthplans.com (include your school name and school ID in your correspondence)

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 (MM/DD/YYYY)