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STUDENT HEALTH INSURANCE WAIVER STATEMENT 900 N. NORTH BRANCH STREET CHICAGO, IL, 60642 T. 312.752.2024 F. 312.752.2019 September 20, 2013, to September 20, 2014, STUDENT HEALTH INSURANCE WAIVER STATEMENT

How to fill out student health insurance waiver

How to fill out a student health insurance waiver:

1. Visit the website of your educational institution or student health services to locate the student health insurance waiver form.
2. Read the instructions and requirements carefully before filling out the form.
3. Provide your personal information, such as your full name, date of birth, and student identification number.
4. Fill in your contact details, including your current address, phone number, and email address.
5. Indicate the reason for your waiver request. This may include being covered under a parent’s health insurance plan, having coverage through a spouse, or having alternate health insurance that meets the school's requirements.
6. Attach any supporting documents requested, such as a copy of your insurance card or a letter from your insurance provider confirming coverage.
7. Review the completed form for accuracy and ensure that all necessary fields are filled out.
8. Sign and date the student health insurance waiver form.
9. Submit the form as instructed, either online or in person, to the designated department or office responsible for processing waivers.
10. Keep a copy of the completed form for your records.

Who needs a student health insurance waiver?

1. Students who already have health insurance coverage that meets the requirements set by their educational institution.
2. Students who are covered under a parent’s health insurance plan until a certain age or while enrolled as a student.
3. Students who are covered under a spouse’s health insurance plan.
4. Students who have obtained alternate health insurance coverage independently or through their employer.
5. Students who belong to specific categories, such as international students who have insurance coverage that meets the university's requirements.
6. Students who can demonstrate that they are exempt from the school's health insurance requirement due to financial hardship or other extenuating circumstances.

Remember to check the specific guidelines and requirements of your educational institution regarding student health insurance waivers as they may vary.

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