JOHNSON & WALES UNIVERSITY

2018-2019 Student Health Insurance Plan
UNDERGRADUATE WAIVER FORM

All registered, undergraduate day students, both domestic and international, all students enrolled in the Physician Assistant Program, all students enrolled in the Counseling graduate program, and all international graduate and doctoral students attending Johnson & Wales University are required to have health insurance coverage that is accepted in the United States. All students who are required to have health insurance are initially charged for the SHIP.

Eligible students who have other health insurance coverage (i.e. under a parent’s or employer’s plan) and do not want to be enrolled in the SHIP must submit an online waiver documenting their other coverage prior to the posted deadline each academic year. Once a waiver form is successfully submitted, the insurance charge is removed from the student’s account within approximately seven business days.

The waiver deadline for students beginning with the Fall 2018 term is July 13, 2018. Students who miss their waiver deadline will be enrolled in the SHIP and responsible for paying the insurance premium for that term and any subsequent terms in which they maintain eligibility during that academic year.

To continue the waiver process, please fill out the required fields below:

date of birth: (MM/DD/YYYY)
student ID: