Create Your Account

Please use the form below to create an account to proceed with enrolling in the BCN Student Health Plan. 


Before completing and submitting this form verify you did not already receive an email from Blue Water Benefits containing your User ID and Temporary Password.

"*" indicates required fields

MM slash DD slash YYYY
Sex Assigned at Birth:*
While attending school, do you reside in Michigan?*
This field is for validation purposes and should be left unchanged.