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Montclair State University
STUDENT HEALTH INSURANCE PLAN

International Student Waiver Form
Spring 2025

**Effective January 1, 2025, state or federal subsidized health insurance plans will no longer meet the University's requirements for a health insurance waiver for international students on F-1 or J-1 visas.**

  • F-1 Visa Students: Montclair State University requires all F-1 Visa students, part-time or full-time, to be insured with an Affordable Care Act (ACA) compliant, filed and approved policy in the U.S.
  • J-1 Visa Students: J-1 visa holders must meet the US Department of State’s health insurance minimums. Please see Mandatory Health Requirements on The Office of Global Engagement site and information on how to waive the university insurance.
  • International students are recommended not to apply for any state or federally subsidized health insurance plans, such as NJ FamilyCare or NY Medicaid, or U.S. government-subsidized health insurance plan, because such plans may:
    • Conflict with representations the students made during the F-1 or J-1 visa process and/or upon entering the United States; and
    • Jeopardize the student’s eligibility for future immigration benefits, such as applying for permanent residency or an H-1B visa.

Please note, health insurance plans marketed solely to international students are often not filed and approved in the U.S. and have limited benefits, provider networks, and/or coverage periods that do not comply with the Montclair insurance requirements. GBG Insurance, HDL Global Specialty, ISO, PGH (United), PSI, Student Medicover, and Tata AIG are examples of companies that do not meet the waiver requirements.

You may waive coverage under this plan if you have health insurance that meets all of Montclair State University’s insurance plan requirements. You will need to provide information about your coverage. An accepted waiver applies to the full academic year during which it is filed.

The waiver deadline is February 24, 2025.

PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Please note, your Montclair State University student ID# begins with an "M" followed by 8 digits. You must include the UPPERCASE "M" in your student ID number when entering it below.

Asterisk (*) denotes required field

 (MM/DD/YYYY)