Thomas Jefferson University
STUDENT HEALTH INSURANCE PLAN
Summer/Pre-Fall Waiver Form
2024-2025 Academic Year
The summer/pre-fall waiver form is available to NEW summer/Pre-Fall or NEWLY eligible students only. Students who missed the annual or spring waiver deadline are not permitted to waive summer/Pre-Fall.
TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:
Please note, your Jefferson Campus Key is a combination of 3 digits and 3 letters.
