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Waiver Form


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Insurance Card (pdf)

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Student 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 2014 September 8, 2014
Spring 2015 January 26, 2015
Summer 2015 June 22, 2015