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MGHIHP
STUDENT HEALTH INSURANCE PLAN

2026-2027 Policy Year
Mid-Year Termination Form


This form is for students enrolled in the 2026–2027 Student Health Insurance Plan (SHIP) who wish to terminate their current coverage at the end of a trimester, resulting in partial-year enrollment. To qualify, students must have enrolled in a comparable health insurance plan with an effective date on or before the next trimester start date (9/1 or 1/1).

If this is your first semester charged this academic year, please use the waiver form.

  Fall Trimester Spring Trimester
Termination Effective Date September 1st  January 1st 
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)

Asterisk (*) denotes required field

 (MM/DD/YYYY)