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PDF International Student Waiver Application form - Student Health and 2026
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- Click ‘Get Form’ to open the PDF International Student Waiver Application form in the editor.
- Begin with Part I – Student Information. Fill in your Student ID Number, Telephone Number, Name, UC Davis Email Address, and Date of Birth accurately.
- 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.
- In Part III – Insurance Plan Benefits, answer the questions regarding your health insurance coverage by selecting 'YES' or 'NO' for each statement provided.
- Complete Part V – Acknowledgements by initialing each statement to confirm your understanding and agreement. Ensure you electronically sign at the bottom of this section.
- Review all entered information for accuracy before submitting. Make a copy of your completed application for your records.
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How to waive USC student health insurance?
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.
What does it mean to waive student health insurance?
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.
How to waive American University health insurance?
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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