MCPHS UNIVERSITY
Student Health Insurance Plan

2025-2026 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.

International students at MCPHS University are automatically enrolled in the Student Health Insurance Plan (SHIP) and do not need to take any action. If you are covered by an Embassy Sponsored Program, Marketplace Plan or a Massachusetts based employer sponsored plan you may complete this form to request review of a waiver. 

MassHealth Members: Mass Health Limited is not accepted. If you are enrolled on a MassHealth Standard Plan you must include documentation of the coverage effective date.

International Travel Plans: Health insurance plans marketed solely to international students are often not filed in the U.S., have limited benefits and/or coverage periods that do not comply with the Massachusetts Student Health Plan Regulations and the MCPHS University waiver requirements. ISO, PSI, PGH Global, Seven Corners, Bajaj Allianz, Tokio Marine and Student Medicover are popular companies that market their plans to international students. Plans issued by these companies do not meet the waiver requirements and are not accepted.

There has been no changes to the MCPHS University Student Health Plan insurance requirements for the 2025-2026 policy year. You MUST upload a copy of your insurance ID Card when submitting this form for our review to ensure your plan meets all insurance requirements.

The waiver deadline is August 1, 2025.

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

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