This form is an application to waive MIT Student Extended Insurance Plan coverage for the summer term only (June 1, 2016–August 31, 2016) The summer waiver must be completed by June 15, 2016.
NOTE: To complete this MIT Student Extended Insurance waiver application, you will need your insurance ID card and information about your insurance coverage.
Am I eligible to waive?
What additional coverage do you need at school? Are you eligible to waive Extended Plan coverage? Take our quiz to find out!
About the waiver
The MIT Student Medical Plan, included with tuition, provides access to most services at MIT Medical with no copay and no additional charge. But Massachusetts state law requires that you also have additional, comprehensive insurance coverage. To meet these state requirements, MIT automatically enrolls you in, and bills you for, the MIT Student Extended Insurance Plan. State law allows you to opt out of this coverage—or “waive”—if you have comparable coverage through another U.S.-based health insurance plan. To have “comparable coverage,” your health plan must offer the same type of benefits as the Extended Plan, and you must be able to use those benefits to get care in the Boston area.