The waiver form for the 2024-2025 academic year is no longer available.
The waiver form for NEW incoming spring 2025 students will be available starting in late 2024.
Student Health Plan
- Waiver Form
- Enrollment Form
- Qualifying Event Enrollment Form
- Mobile App
- Insurance ID Card
- Prescription Drug Coverage
- Confirmation of Coverage Letter
- Telehealth Information
- Worldwide Travel Assistance
Optional Plans
Additional Information
- Seton Hall Health Services
- Insurance Info for Graduating Students and Dependents
- Tuition and Renters Insurance
Qualifying Event Enrollment
A qualifying event is an event such as losing comparable health insurance coverage or entry into the USA. These changes may make you eligible for a special enrollment period, allowing you to enroll in the student health insurance outside the open enrollment period. You can use this form to enroll for coverage on the Seton Hall University Student Health Plan within 60 days of the qualifying event date. Enrollment is not available after 60 days following the eligible life event.
Important: When enrolling your effective date of coverage MUST match the first day of no coverage under your other insurance, if enrolling due to a loss of coverage. Your enrollment WILL NOT be processed if the effective date does not match your supporting documentation and your enrollment will NOT be processed, and you will be refunded. If you have questions about the coverage start date, please contact University Health Plans at 833-336-2121 before you submit your enrollment form.
You must enroll for your applicable student coverage type: Undergraduate, Graduate or Law Student. If you are a graduate or law student and select to enroll as an undergraduate student, your enrollment will NOT be processed, and you will be refunded.