Forms and Applications
Enrollment Forms and Applications
For information about On Call Travel Assistance and Medical Evacuation programs, please click the "Other Insurance Products" tab to the left.
All documents are in .PDF format. In order to read and print your enrollment form, you will need to have Adobe Reader downloaded and installed on your computer. You may click on the image below to download Adobe Reader.
Protect what's yours.
Tuition Refund Insurance
Don't let an unforeseen illness or accident prevent completion of a college education.
The Value We Offer
Our plans are customized specifically for students, to ensure your experience on campus is a healthy, happy one.
Health Careers Scholarship
THE HEALTH CAREERS SCHOLARSHIP PROGRAM APPLICATION PERIOD IS NOW OPEN.
The deadline for submitting your online application is: May 5, 2017Learn More
Going to the dentist may not be your idea of fun.
We just make it easier. Learn More
- Gallagher Student Health & Special Risk
500 Victory Road, Quincy, MA 02171
CONTACT CUSTOMER SERVICE