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Bentley University
STUDENT HEALTH INSURANCE PLAN

International Student Annual Waiver Form
2025-2026 Academic Year
 

Bentley University requires all international students to be insured with a plan that is filed and approved in the U.S., fully compliant with the ACA benefit requirements, and provides no limit on Essential Health Benefits. Please note that health insurance plans marketed solely to international students are often not filed and approved in the U.S., and have limited benefits, provider networks, and/or coverage periods that do not comply with the insurance requirements. GBG Insurance, HDL Global Specialty, ISO, PGH (United), PSI, Student Medicover, DIANins,  NYIS, and Tata AIG are companies that do not meet the waiver requirements.

In general, the only plans that meet the waiver requirements for international students are Embassy-Sponsored Plans, US Employer-Sponsored Plans, or US Health Insurance Marketplace Plans. 

If you have health insurance that meets all of Bentley University’s health insurance plan requirements you may continue through the waiver form.

PLEASE FILL OUT THE REQUIRED FIELDS BELOW:
 

Asterisk (*) denotes required field

 (MM/DD/YYYY)