Montclair State University
STUDENT HEALTH INSURANCE PLAN

Waiver Form
2026-2027 Academic Year

It is important to review your health needs each year to make an informed decision about your insurance coverage. Consider whether anything has changed - for example, new medical needs, plans to study abroad, or whether your current insurance provides nationwide coverage and emergency benefits.  Having the right health coverage ensures that an unexpected illness or injury does not interfere with your well-being or academic success.

You may waive coverage under this plan if your existing health insurance meets all of Montclair State University’s insurance requirements. You will be asked to provide information about your current coverage. Once accepted, a waiver applies to the entire academic year in which it is submitted.

The waiver deadline is September 14, 2026.

PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Please note, your Montclair State University student ID# begins with an "M" followed by 8 digits. Be sure to entire the full ID, including the capital "M."