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Drew University
STUDENT HEALTH INSURANCE PLAN

Fall Semester Waiver Form
2024-2025 Academic Year

Drew University requires you to enroll in or waive the school-sponsored insurance plan each academic year. It is important for you to make an informed health assessment each year. For instance, have your health needs changed? Will you be participating in a study abroad program? Will you be traveling for an internship? Do you have access to a network that covers you throughout the country and do you have coverage for emergencies? Make sure you have appropriate health coverage so that an unexpected illness or accident doesn’t hold back your wellness or academic success.

You may waive coverage under this plan if you have health insurance that meets all of Drew 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.

Important: If you do NOT waive coverage by the deadline, you will be enrolled in the Drew University plan and will be responsible for the applicable premium on your student account. Please note the last day of add/drop is a firm deadline and that charges cannot be removed from your bill after this date. In addition, please note that if you access coverage under the plan, even if prior to the waiver deadline, you will be deemed enrolled in the plan and will be responsible for the premium.

The Annual waiver deadline is August 26, 2024.  PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Asterisk (*) denotes required field

STUDENT INFORMATION

 
 (two zeros followed by 7 digits)
 (MM/DD/YYYY)