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MCPHS University
Student Health Insurance Plan

2024-2025 Annual Waiver Form


According to the Commonwealth of Massachusetts and MCPHS University policy, all students (regardless of enrollment) must be covered by a comprehensive health insurance plan which meets these standards. The University makes available a health insurance plan which meets these standards. To waive coverage, please provide the information below.

The  waiver form deadline is August 1, 2024


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

Please note that your student ID is 7 numerical digits (example: 0123456)

Asterisk (*) denotes required field

 (MM/DD/YYYY)