{"id":15096,"date":"2024-07-18T10:27:59","date_gmt":"2024-07-18T14:27:59","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/osfs\/?page_id=15096"},"modified":"2026-03-31T10:20:43","modified_gmt":"2026-03-31T14:20:43","slug":"ship-confirmation-form","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/osfs\/ship-confirmation-form\/","title":{"rendered":"SHIP Confirmation Form"},"content":{"rendered":"<p>BUMC students who plan to keep their Boston University Student Health Insurance Plan (SHIP) for the 2026-2027 year and who would like to utilize financial aid to cover this expense should complete the SHIP\u00a0 Confirmation Form.<\/p>\n<p>For SHIP information including different plans and rates, please go to the <a href=\"https:\/\/www.bu.edu\/shs\/getting-started\/student-health-insurance-plan\/\">Student Health Services SHIP resources<\/a> page.<\/p>\n<p>GSDM students can view SHIP information and rates for 2026-2027, including for dependent coverage <a href=\"https:\/\/www.bu.edu\/dental\/about\/offices\/registrar\/tuition\/health-ins-costs\/\">here<\/a>.<\/p>\n<p><em>If your current plan meets all of the requirements on the comparable coverage checklist, you can access the SHIP waiver through your MyBU Student Portal under &#8220;Student Health Insurance&#8221; and &#8220;Waive SHIP&#8221;.\u00a0<\/em><\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_62' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Student Health Insurance Plan (SHIP) Confirmation Form<\/h2>\n                            <p class='gform_description'>This form is for students who are opting to keep the Boston University Student Health Insurance Plan for the 2025-2026 year and who will be using financial aid to cover this expense.\r\n\r\nStudents should select either the Basic or Plus SHIP plan.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_62'  action='\/osfs\/wp-json\/wp\/v2\/pages\/15096' data-formid='62' >\n                        <div class='gform-body gform_body'><div id='gform_fields_62' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_62_11\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_62_11\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_62_11'>\n                            \n                            <span id='input_62_11_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.3' id='input_62_11_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_62_11_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_62_11_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.6' id='input_62_11_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_62_11_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_62_13\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_62_13\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >BU ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_62_13'>\n                            \n                            <span id='input_62_13_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.3' id='input_62_13_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_62_13_3' class='gform-field-label gform-field-label--type-sub '>Uxxxxxxxx<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/fieldset><fieldset id=\"field_62_19\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_62_19\"><legend class='gfield_label gform-field-label'  >Select School<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_62_19'>\n\t\t\t<div class='gchoice gchoice_62_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Chobanian &amp; Avedisian School of Medicine'  id='choice_62_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_62_19_0' id='label_62_19_0' class='gform-field-label gform-field-label--type-inline'>Chobanian &amp; Avedisian School of Medicine<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_62_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Goldman School of Dental Medicine'  id='choice_62_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_62_19_1' id='label_62_19_1' class='gform-field-label gform-field-label--type-inline'>Goldman School of Dental Medicine<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_62_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Graduate Medical Sciences'  id='choice_62_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_62_19_2' id='label_62_19_2' class='gform-field-label gform-field-label--type-inline'>Graduate Medical Sciences<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_62_19_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='School of Public Health'  id='choice_62_19_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_62_19_3' id='label_62_19_3' class='gform-field-label gform-field-label--type-inline'>School of Public Health<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_62_15\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_62_15\"><label class='gfield_label gform-field-label' for='input_62_15' >BU Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_62_15' type='text' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_62_17\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_62_17\"><label class='gfield_label gform-field-label' for='input_62_17' >SHIP Plan<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_62_17' class='large gfield_select'  aria-describedby=\"gfield_description_62_17\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='(select one)' >(select one)<\/option><option value='Basic Plan Student Only' >Basic Plan Student Only<\/option><option value='Plus Plan Student Only' >Plus Plan Student Only<\/option><option value='Other (please specify in next box)' >Other (please specify in next box)<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_62_17'>If you are selecting SHIP other than those listed such as a plan that includes both student and dependent coverage, please specify in the next box.<\/div><\/div><div id=\"field_62_18\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_62_18\"><label class='gfield_label gform-field-label' for='input_62_18' >If you selected &quot;other&quot;, please specify:<\/label><div 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For SHIP information including different plans and rates, please go to the Student Health Services SHIP resources page. GSDM [&hellip;]<\/p>\n","protected":false},"author":21520,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/osfs\/wp-json\/wp\/v2\/pages\/15096"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/osfs\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/osfs\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/osfs\/wp-json\/wp\/v2\/users\/21520"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/osfs\/wp-json\/wp\/v2\/comments?post=15096"}],"version-history":[{"count":7,"href":"https:\/\/www.bumc.bu.edu\/osfs\/wp-json\/wp\/v2\/pages\/15096\/revisions"}],"predecessor-version":[{"id":15995,"href":"https:\/\/www.bumc.bu.edu\/osfs\/wp-json\/wp\/v2\/pages\/15096\/revisions\/15995"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/osfs\/wp-json\/wp\/v2\/media?parent=15096"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}