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Risk Strategies - University Health Plans

Stonehill College
STUDENT HEALTH INSURANCE PLAN

Annual Waiver Form
2024-2025 Academic Year

TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Please note, your student ID# begins with "H" followed by 8 digits. 

Asterisk (*) denotes required field

 (MM/DD/YYYY)