UNIVERSITY OF DELAWARE
STUDENT HEALTH INSURANCE PLAN
2021-2022 POLICY YEAR

MANDATORY STUDENT ANNUAL WAIVER APPEAL FORM 

THE ANNUAL WAIVER APPEAL FORM DEADLINE IS 10/22/2021

Students who fall into one of the categories listed below are labeled as “Mandatory” [with regard to the UD Student Health Insurance Plan (UD Plan)].

  • Undergraduate students taking 12+ credits
  • Non-contracted graduate students taking 9+ credits
  • Contracted graduate students (including sustaining)
  • International students on F1, J1 or J2 visas

Students who are considered Mandatory will be automatically charged for the UD Plan on their student account per semester.

Mandatory Students who have other comparable health insurance coverage (click here for key requirements of a comparable plan) and do not want to be enrolled in the UD Plan must submit this online Waiver Appeal Form by the deadline of 10/22/2021. This is the only way to request the removal of the UD Plan charge from a student’s account. Submitting the Waiver Appeal Form will credit the insurance charge for the 2021-2022 UD Plan.

A student who is eligible to be automatically charged for the UD Plan for the 2021-2022 policy year and does not submit a Waiver Appeal Form by the deadline of 10/22/2021 will be responsible for the UD Plan charges placed on their student account during the 2021-2022 academic year. 
 
Please Note: The UD Plan charge appears on the student account as “Health Insurance for Students” and is NOT related to the Student Wellbeing fee.


If you have read the information on this page and would like to begin the Waiver Form process, submit your Student ID and Date of Birth below.

 (MM/DD/YYYY)