St. John’s University
Student Health Insurance Plan
Resident Undergraduate Student

Spring 2020 Policy Period Waiver Form
(January 1, 2020- August 14, 2020)

This form is for NEW spring students only. If you were a registered student for fall 2019 you are not eligible to submit a waiver form at this time.

In order to successfully complete the below waiver form you will need to provide your Student ID number beginning with "X". If you do not have this number, please contact St. John's University Customer Service at 718-990-2000.

IMPORTANT NOTE FOR INTERNATIONAL STUDENTS: Enrollment is mandatory for all International Students with a current passport and student Visa (J-1 or F-1) who are temporarily located outside their home country and are actively engaged in education or educational research activities at St. John’s University. All international students are automatically enrolled in the University’s Student Health Insurance Plan, and may not waive out of it.


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