Form preview

Get the free Student Health Insurance Enrollment/Waiver Form - regis

Get Form
This form allows students at Regis University to enroll in or waive the university's health insurance plan. It collects personal information, insurance details, and requires signatures from both the
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign student health insurance enrollmentwaiver

Edit
Edit your student health insurance enrollmentwaiver form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your student health insurance enrollmentwaiver form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit student health insurance enrollmentwaiver online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Check your account. In case you're new, it's time to start your free trial.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit student health insurance enrollmentwaiver. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
With pdfFiller, dealing with documents is always straightforward. Now is the time to try it!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out student health insurance enrollmentwaiver

Illustration

How to fill out Student Health Insurance Enrollment/Waiver Form

01
Obtain the Student Health Insurance Enrollment/Waiver Form from your school's website or health services office.
02
Read the instructions carefully to understand the requirements for enrollment or waiver.
03
Fill out your personal information including your name, student ID, and contact information.
04
If enrolling, choose the type of insurance plan you wish to enroll in and provide any necessary payment information.
05
If waiving, provide proof of alternative health insurance coverage, such as a policy number and insurance provider's details.
06
Sign and date the form to verify that all information is correct and complete.
07
Submit the completed form to the designated office (usually the health services office) by the deadline.

Who needs Student Health Insurance Enrollment/Waiver Form?

01
All enrolled students who wish to obtain health insurance coverage through their school.
02
Students who have existing health insurance and wish to waive the school's health insurance requirement.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
49 Votes

People Also Ask about

Waiving SHIP Students should contact Student Health Services at 303-871-2205 for more information. Students who are covered by another health insurance plan may waive participation in the student health insurance program. To process a waiver, sign into My4D.
You may waive the SHIP/Aetna plan through the Aetna website before the third week of the fall semester — you must submit a waiver every year. If you are starting as a new student in the spring semester, submit the waiver before the third week of the spring semester in your first year, and then annually each fall.
It is a formal agreement or declaration that modifies the terms of the insurance policy, removing or altering specific provisions or conditions that would otherwise apply. The waiver may be temporary or permanent, and it must be agreed upon by both parties to be legally binding.
A waiver is a declaration by the student that he/she is currently enrolled in a health insurance plan and consequently are 'waiving' their enrollment or participation in the student health insurance plan.
A waiver form signed before any activity seeks to protect the organizers, business owners and operators, and others from liability if you or a loved one were to get hurt.
Take, for example, a life insurance policy can have a waiver of premium. This provision shields the insured from the risk of losing coverage if he/she is unable to pay the premiums due to a severe illness or disability.
What is a waiver form? Waiver forms are a type of legal protection used by businesses to reduce their liability and risk. This type of agreement between a business and its customers is used to document that all parties are aware of potential risks in certain situations.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Student Health Insurance Enrollment/Waiver Form is a document that allows students to either enroll in the school's health insurance plan or waive it if they have comparable coverage.
All students who are enrolled in programs that require health insurance coverage are typically required to file the Student Health Insurance Enrollment/Waiver Form.
To fill out the Student Health Insurance Enrollment/Waiver Form, students should provide their personal information, indicate their choice to enroll or waive the insurance, and submit any required documentation for their current health insurance coverage if waiving.
The purpose of the Student Health Insurance Enrollment/Waiver Form is to ensure that all students have adequate health insurance coverage and to provide a formal process for opting out of the school's insurance plan.
The information that must be reported typically includes the student's name, student ID, date of birth, the choice to enroll or waive, details of existing insurance coverage (if waiving), and signature.
Fill out your student health insurance enrollmentwaiver online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.