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Waiver Form

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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

Semester2015-2016
Fall 2015 September 4, 2015
Spring 2016 January 25, 2016
Summer 2016 May 17, 2016