Should you have any questions, please contact University Health Plans at email@example.com or 800-437-6448.
ALL NEW STUDENTS MUST COMPLETE EITHER A WAIVER FORM OR ENROLLMENT FORM FOR THE SPRING 2021 SEMESTER.
THE DEADLINE FOR SPRING TERM IS FEBRUARY 12, 2021.
WAIVER FORM: Complete this form if you have other, comparable coverage and want to remove the insurance charge from your student account.
ENROLLMENT FORM: Complete this form if you want to expedite the processing of your Student Health Insurance Plan enrollment. If you do not complete this form by the deadline, your information will not be added to the insurance plan system until after the Spring Term effective date of 01/01/2021.
You do not need to purchase or be eligible for the Student Health Insurance Plan to purchase one of the voluntary plans below.