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Waiver Form


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Insurance Card (pdf)



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Student Health Insurance Waiver

It is possible to obtain a waiver from The Plan, however, this action should be considered only after careful study of the brochure and consultation with the Student Health Insurance Office staff.

Click here for Waiver Form

Deadlines for Waiver Form

Fall 2012 August 31, 2012
Spring 2013 January 18, 2013
Summer 2013 June 17, 2013