WASHINGTON COLLEGE

STUDENT HEALTH INSURANCE PLAN 
2024-2025 POLICY YEAR WAIVER FORM

All full-time students enrolled for a minimum of 12 credit hours will be automatically charged the annual insurance fee. Domestic students who are enrolled in an alternative comparable, comprehensive insurance plan may submit a waiver form by the noted deadline to opt out of the Plan and remove the insuance charge from the student account. International students are automatically enrolled and do not have access ot the waiver form.

The deadline to submit the 2024-2025 policy year waiver form is July 15, 2024.

PLEASE FILL OUT THE REQUIRED FIELDS BELOW TO CONTINUE THE WAIVER PROCESS: