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Lehigh University
Student Health Insurance Plan

STUDENT WAIVER FORM
2024-2025 POLICY YEAR

All undergraduate matriculating students registered for five (5) or more credits, undergraduate non-matriculating students (non-degree/General College Division) registered for twelve (12) or more credits, graduate students enrolled in a degree seeking on-campus based program and registered for nine (9) or more credits, and Graduate students with certified-full time status registered for (1) or more credits for the Fall 2024 semester are required to show evidence of an existing creditable health insurance policy. 

If you already have another health insurance plan that provides comprehensive coverage in the Lehigh area for inpatient and outpatient services in both emergency and non-emergency situations, you may opt out of the Lehigh University Student Health Insurance Plan by submitting this waiver form by the deadline.

All Lehigh International Students on an F-1 or J-1 Visa are not permitted to drop coverage by submitting a waiver form unless you have parents or a spouse/domestic partner living and/or working in the U.S. and are covered under a family plan that's ACA-compliant, you are sponsored to study at Lehigh by your home country or U.S. government that provides you with an insurance plan, or you have dependents at Lehigh and have a private family insurance plan that's ACA-compliant. International students should contact Lehigh’s Office of International Students & Scholars (610) 758-4859 to verify if you qualify for a waiver.

All Lehigh students who are required to have insurance will automatically be charged the associated premium of $2,509 on your student bill. You are strongly encouraged to waive by July 1st to have a credit on your July billing statement. 

If you complete the waiver prior to the fall charges being applied to student account, the waiver credit will be added to your account after the fall semester charges are posted.

If you submit the waiver form after fall semester charges are posted, please allow 2-3 business days for the waiver credit to be applied to your account.

Waivers that occur after July 31st, or more than 10 days after becoming eligible, may be subject  to a late processing fee of $25.
 



To continue the waiver process, please fill out the required fields below:

Please note, your LIN# is 9 digits.


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