UNIVERSITY OF DELAWARE
STUDENT HEALTH PLAN
2024-2025 POLICY YEAR
SPRING TERMINATION REQUEST FORM
(SPRING: 2/1/25-8/14/25)
This form is ONLY for students enrolled in the plan during the fall 2024 semester.
If you waived at the start of the policy year you do NOT need to submit a new form for spring, you will not have access to this form. Please review your student account to see the Spring charge credited to you.
Though you are not given access to the "Spring Waiver Form", you may submit this form if you have comparable coverage from another source that is in effect on or before 2/1/25 and would like to request termination of the UD Plan for this policy year as of 1/31/25.
THIS REQUEST MUST BE SUBMITTED BY FEBRUARY 28, 2025.
If you have read the information on this page and would like to begin the Waiver Form process, submit your Student ID and Date of Birth below.
