SARAH LAWRENCE COLLEGE
STUDENT HEALTH INSURANCE PLAN
WAIVER FORM

Annual 24-25 Waiver Form

IMPORTANT NOTICE: Sarah Lawrence College automatically enrolls all registered students in the Student Health Insurance Plan. You are REQUIRED to participate in and pay for, the Student Health Insurance plan unless proof of COMPARABLE COVERAGE is provided below. If you fail to complete this Waiver form by the deadline, you will be enrolled in and charged for the coverage through the Sarah Lawrence College Student Health Insurance Plan.

International Students: All students must be insured by a US health insurance plan that is filed and approved in the US and compliant with the Affordable Care Act (ACA). Generally, only plans offered through employment in the US or purchased through the New York marketplace will meet this requirement. Plans marketed solely to international students are not filed and approved in the US, or compliant with the ACA, and do not meet the insurance requirements. Cigna Global, GBG Insurance, HDL Global Specialty, ISO, Tigerless, PGH (United), PSI, Student Medicover, and Tata AIG are examples of companies that do not meet the waiver requirements. 

Non-U.S. Based Insurance companies or coverage provided from countries with socialized medicine, including Canada is NOT considered comparable coverage, and you are required to enroll in the Sarah Lawrence College Student Health Insurance Plan.

Please take a few minutes to review your current policy and make sure you are adequately covered. Many HMOs and PPOs provide limited coverage for students traveling away from their service area, and most employer plans will not cover dependents beyond a certain age. If you are not adequately insured while you are at school, you will not be allowed to waive. If you are not sure, please contact your current carrier. If you have COMPARABLE coverage benefits to the Sarah Lawrence College Student Health Insurance Plan, please continue to fill out the required fields below. Please make sure that you have a copy of your insurance card before proceeding to the waiver form.

Please Note: Your SLC student ID# consists of 9 digits following 000XXXXXX. Please do not enter your social security number.