Skip to main content Skip to main menu

Thomas Jefferson University
STUDENT HEALTH INSURANCE PLAN

Summer/Pre-Fall Waiver for NJ/EF PA and Midwifery Students
2024-2025 Academic Year

The summer/pre-fall waiver form is available to NEW summer/Pre-Fall or NEWLY eligible students only. Students who missed the annual or spring waiver deadline are not permitted to waive summer/Pre-Fall. 

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

Asterisk (*) denotes required field

 (MM/DD/YYYY)