SCHOOL OF VISUAL ARTS
STUDENT HEALTH INSURANCE PLAN

2024-2025 Policy Year Waiver Form

This form is no longer available.

The deadline to submit the waiver appeal form for the spring 2025 policy period was April 30, 2025. A late waiver will not be accepted at this time.

2025-2026 Policy Year Waiver Form: The 2025-2026 policy year waiver form will be available June 2,2025.

If you have any questions, please contact University Health Plans at info@univhealthplans.com or 1-833-251-1138.