UNIVERSITY OF DELAWARE
STUDENT HEALTH INSURANCE PLAN
2026-2027 POLICY YEAR

ANNUAL WAIVER FORM

If you have a health insurance plan that meets the UD Health Insurance Requirements, you may submit this waiver request to decline the UD Plan. Submitting this online waiver is the only way to request removal of the UD Plan charge from your student account.

Before You Begin

Please have the following available:

• Your health insurance ID Card
• Your health insurance plan policy or summary of benefits

Need Help?

Before starting the waiver, make sure you understand:

• What type of health insurance plan you have: PPO, HMO, Medicaid, POS, HDHP , Other Health Insurance Plans
• If your plan has a deductible and what the amount of the deductible is
• Whether you have access to in-network doctors and hospitals in the UD area
• Whether your plan provides coverage for emergency and non-emergency medical care as well as mental health care while you are attending UD

Taking the time to gather this information now can help ensure you complete the waiver accurately.

Important Information

• Please review your answers carefully before submitting
• If you are unsure whether your health plan provides coverage in the UD area, contact your insurance company's Customer Service department before completing this form
• The Customer Service phone number is typically listed on the back of your insurance ID card

Ready to get started?

If you have reviewed the information above and are ready to begin the waiver process, enter your Date of Birth and Student ID below.