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Barnard College
STUDENT HEALTH INSURANCE PLAN

Annual Waiver Form
2024-2025 Academic Year

Please remember the following:

  • The waiver process is annual. You must make a selection before the beginning of the first semester of each academic year in which you are registered.
  • All waivers will be reviewed to ensure compliance with Barnard College health insurance waiver policy requirements. Please be sure to have a copy of your insurance policy as you may be asked to provide this documentation.


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

Please note, your Barnard ID# is a 7-digit numerical number. It is not your UNI / Barnard email which is an alphanumerical ID. You can find the 7-digit ID number by logging into the myBarnard portal, clicking on the Academics tab, and looking in “My Academic Record” and then “My College Profile.

Asterisk (*) denotes required field

 (MM/DD/YYYY)