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Seton Hall University
STUDENT HEALTH INSURANCE PLAN

Spring Waiver Form
2024-2025 Academic Year


You may only waive the plan if you have an active comparable health insurance that meets all waiver requirements. Seton Hall requires that students be insured on a US health insurance plan that provides them with both emergency and non-emergency and non-emergency access to doctors, specialists, hospitals, labs, pharmacies and mental health/behavioral health providers in the South Orange, New Jersey campus area without restriction or limitation. Emergency/Urgent Only coverage in the area of the campus does not meet the insurance requirements for a waiver. Plans must be filed and approved in the USA and fully compliant with the US Affordable Care Act.

Asterisk (*) denotes required field

 (MM/DD/YYYY)