Homewood Postdoctoral Fellows SHP Health Insurance Waiver Form 2025

1. Click ‘Get Form’ to open the Homewood Postdoctoral Fellows SHP Health Insurance Waiver Form in our platform.
2. Begin by filling out the Biographical Data section. Enter your last name, first name, middle initial, date of birth, Hopkins ID, and gender. Ensure all fields are completed as they are mandatory.
3. Next, provide your address details including street, city, state, zip code, and country. Double-check for accuracy to avoid any processing delays.
4. In the Alternate Health Coverage Information section, fill in either your policy number or group/certification number along with the insurance company name. Include the phone number and address for claims.
5. List your current health insurance card information as required. Fill in medical maximum and deductible amounts if applicable.
6. Indicate your coverage status by checking the appropriate box regarding whether you are covered as a dependent or if the policy is issued in your name.
7. Finally, read through the waiver statement carefully before signing and dating the form at the bottom.

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