St. John’s University
2024-2025 Policy Year
Student Health Insurance Plan
Resident Graduate Student - Annual Waiver Form
THIS FORM IS FOR DOMESTIC RESIDENT STUDENTS ONLY. Eligible domestic students living on campus are automatically enrolled in the plan unless they can provide evidence of equivalent coverage satisfactory to St. John’s University by submitting a waiver by the posted deadline.
- If you are a commuter student, it is not necessary to complete this form.
- If you are an international student, DO NOT complete this form. See below.
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 eligible international students will be automatically enrolled in the University’s Student Health Insurance Plan and should not submit this form. Please contact University Health Plans at 833-251-1134 or info@univhealthplans.com if you are covered by a health insurance plan that is filed and approved in the U.S. and meets all of the waiver requirements.
In order to successfully complete the below waiver form you will need to provide your Student ID number beginning with the letter "X". Please do not use the number that starts with "9". This will result in the waiver not posting to your student account. If you do not have the student ID number that begins with "X", please contact St. John's University Customer Service at 718-990-2000.
