The 25/26 waiver form is no longer available. The 26/27 waiver form will be available early June.
Student Health Plan
- Waiver Form
- Enrollment Form
- Qualifying Event Enrollment Form
-
CareConnect –
Behavioral Health Hotline - Provider Search
- Claim Form
- Insurance ID Card
- Insurance Mobile App
Optional Plans
Additional Information
Lehigh University Qualifying Life Event
Students who waived the Student Health Insurance Plan (SHIP) and recently lost their other coverage or moved to the US can contact the Lehigh Bursar Office at bursar@lehigh.edu to request the qualifying event enrollment form (include your LIN in your email). Once the qualifying event enrollment form has been completed, eligibility will be confirmed, and the insurance charge will be added to the student's account. Once payment has been made to the Lehigh Bursar Office, enrollment will be sent to Wellfleet for processing. If the loss of coverage occurs between 8/15 and 12/31, payment due is the annual premium. If the loss of coverage occurs between 1/1 and 8/14, payment due is the spring premium. The deadline to complete the enrollment form is 60 days from the qualifying life event.