Create an Account | Your Student Health Plan

Please use the form below to create an account to proceed with enrolling in the BCBSM International Students and Scholars Health Plan.

REGISTRATION FORM

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

Name*

First Last

Date of Birth*

Sex Assigned at Birth:*

Male

Female

Student University ID*

Student ID’s must be 9 digits in length, beginning with 00. No alpha characters are allowed.

Email Address. University issued email address is preferred.*

Student Classification:*

Name

This field is for validation purposes and should be left unchanged.