Health Insurance Waiver Form Uiuc

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815 753 9599 studentinsurance niu edu monday friday 8 a m 4 30 p m. Office of student health insurance 1109 s.

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Student health insurance office health services building room 201 phone.

Health insurance waiver form uiuc. In order for a waiver to be. Before you waive if you are considering waiving the ship please see the 2020 2021 comparable coverage checklist. Urbana il 61801 insure illinois edu 217 333 0165.

Not all forms of health insurance are accepted to waive the student plan. If the other insurance meets the above qualifications the student may then fill out the waiver form found on the student health insurance website and bring documentation from the other insurer to the office of student health insurance. Campuscare allows students who currently have major medical insurance of their own to waive the campuscare student health benefit fee.

You will need to complete the electronic waiver form by clicking here. The documentation should show proof of the above conditions be written translated into english and have. All students who have an approved waiver on file.

A small percentage of these waivers will be audited for accuracy and comparability to the student plan. Only students with comparable health insurance coverage for example through a legal guardian or an employer can waive out of the program by submitting the online waiver form by 11 59 p m. In compliance with the student optional disclosure of private mental health act the university has established procedures for students to have the opportunity to authorize in writing the disclosure of certain private mental health information to a designated person.

How to waive the campuscare student health insurance fee. The general waiver period is the allotted time frame for students to complete the insurance waiver forms required to receive a credit for the student health insurance fee. Beginning fall 2014 students must fill out a waiver at the beginning of every academic year in order for the campuscare charge to be removed from their student account.

Request for waiver from the university health insurance extension of coverage purchase of dependent coverage and so on are limited to specific time periods at the beginning of each semester. See the student insurance office website for more information. Students who have applied or registered after june 1 should contact.

Cst on monday june 1 2020. Optional disclosure of private mental health information. If you wish to waive coverage for the entire time you are a student at uiuc you will need to submit a waiver each academic year.

Waivers reinstatement forms waivers. Waiver forms can be submitted for any individual semester however if a student waives coverage in the fall coverage will continue to be waived for the remainder of the academic year.

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