2018-2019 POLICY YEAR

Waiver Form

The spring 2019 waiver deadline has passed.

Spring 2019 Waiver Appeal Process: If you missed the Spring waiver deadline of February 11, 2019, you may submit a missed waiver deadline appeal for consideration. The deadline to submit a missed waiver appeal is April 4, 2019. You may only submit an appeal one time while a student at SVA. If you have used the SVA Student Health Insurance Plan since January 1, 2019, your plan will not be terminated and the fee will remain on your bill. If your Waiver Appeal is approved, you will be charged a Late Health Cancellation Fee of $200.

The Waiver Appeal Process is for Spring 2019 only. To obtain a Waiver Appeal form for Spring 2019, please click here.

If you have any questions, please contact University Health Plans at 1-800-437-6448 or

Fall 2019 Waiver Form: The online waiver form for students entering fall semester will be available June 1, 2019.

Summer 2019 Waiver Form: Students entering SVA for summer degree-seeking courses will be notified by email about the waiver form.