1. All full-time undergraduate students who do not have health insurance that meets MSMU’s criteria must enroll in the SHIP.
2. The $2,169 SHIP includes $99 in administrative fees and a $2,070 premium for a one-year term of insurance, effective 8/1/2019 - 7/31/2020.
3. The SHIP does not automatically renew and paying for it via your student account does not guarantee your enrollment. You must complete the enrollment process online before the beginning of every school year.

1. To waive the SHIP, you are required to have comparable health insurance that covers you in the Emmitsburg area.
2. To submit a waiver request, log on to the website and enter information from your current health insurance card.
3. You must complete this waiver process before the beginning of every school year.

PRINT AND COMPLETE THESE REQUIRED FORMS

• Cover Letter (.pdf) Important to read first
• Health History Form (.pdf page 1)
• Physical Examination Form (.pdf page 2)
• Immunization Form (.pdf page 3) or Waiver for Immunizations (.pdf)
• Meningitis Information/Waiver * (.pdf page 4)
• Emergency Information (.pdf page 5)
• New NCAA student-athletes are also required to fill out additional athletics forms

Please mail your forms to:

• Inform Health Services of any changes in your health insurance plan;
• Inform Health Services of any changes in medications or diagnosis;
• Update your Emergency Contact information (.pdf).

• Vaccine Information (.pdf)
• Ticks and Lyme Disease (.pdf)