> Online Student Health Brochure
> Waive Insurance
> ID Card Request
> Printable Claim Form
> Dependent Enrollment Form
> Domestic Partnership Form
> Claim Inquiry/Satisfaction Survey
> Major Medical Insurance/Short Term Insurance
> Dental Insurance
The University of Maine at Machias Student Health
Insurance Plan has been developed especially for
University of Maine at Machias students and their eligible
dependents. The plan provides coverage for covered illnesses
and injuries that occur on and off campus.
All registered undergraduate students taking 9 or more
credit hours are automatically enrolled in the University of
Maine at Machias Student Accident and Sickness Insurance
Plan unless proof of comparable medical insurance can be
provided and is approved by the University. You will automatically
be enrolled unless you waive coverage by providing
proof of comparable coverage via the on-line Waiver
Form at www.crossagency.com/umm. Click on the “Waive
Insurance” link and follow the instructions. On-line Waiver
Forms for the Annual Policy cannot be accepted after
October 3, 2009. On-line Waiver Forms for Spring Term cannot
be accepted after February 13, 2010. Students who do
not complete the on-line Waiver Form by these dates, will
automatically be enrolled in the Student Accident & Sickness
Insurance Plan. All international students will be automatically
enrolled in this plan regardless of other coverage.
Eligible students who are enrolled may also insure their eligible
dependents. Eligible dependents are the spouse/domestic
partner (residing with the insured student) and unmarried
children under 19 years of age, who are not self supporting and
reside with the insured student. Domestic partners need to
complete an affidavit which is available at the business office or
on-line at www.crossagency.com/umm. Dependent eligibility
expires concurrently with that of the insured student once
enrolled, dependent coverage cannot be cancelled and premium
is non-refundable.
The cost of the plan is $426 annually or $282 for second
semester. Payment of $375 provides coverage for a full year.
Coverage begins upon arrival for authorized school activities. It
will expire on September 1, 2010. Once enrolled, coverage
cannot be cancelled and premium is non-refundable.
