PDF International Student Waiver Application form - Student Health and 2026

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  1. Click ‘Get Form’ to open the PDF International Student Waiver Application form in the editor.
  2. Begin with Part I – Student Information. Fill in your Student ID Number, Telephone Number, Name, UC Davis Email Address, and Date of Birth accurately.
  3. Proceed to Part II – Insurance Plan Information. Enter details about your insurance company, including the Insurance ID and Group Number, along with the Primary Subscriber's information.
  4. In Part III – Insurance Plan Benefits, answer the questions regarding your health insurance coverage by selecting 'YES' or 'NO' for each statement provided.
  5. Complete Part V – Acknowledgements by initialing each statement to confirm your understanding and agreement. Ensure you electronically sign at the bottom of this section.
  6. Review all entered information for accuracy before submitting. Make a copy of your completed application for your records.

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If you have your own health insurance through a family member or other qualified plan, you can submit a waiver request via MySHR in the Insurance Waiver/Enrollment tab. If you have decided to take SHIP/Aetna, no action is required for full-time in-person programs, you will be automatically enrolled.
A waiver is a declaration by the student that he/she is currently enrolled in a health insurance plan and consequently are waiving their enrollment or participation in the student health insurance plan.
You must request a health insurance waiver every year that you are required to have health insurance. After you submit your waiver request, it will be reviewed and a decision made within 5 business days. Please be aware that approval is not automatic. You will receive an email when your waiver decision has been made.

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