1188 Fort Street, Suite 105-2025

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  1. Click ‘Get Form’ to open the International Student Health Insurance Waiver in the editor.
  2. Begin with Form A: Fill in your Last Name, First Name, and University Student ID#. Indicate your visa type (F-1 or J-1) and student status (Undergraduate or Graduate).
  3. Provide your country of citizenship, birthday, current address, and Hawaii address. If you haven't determined your Hawaii address yet, simply write 'TBD'.
  4. Complete the estimated dates of arrival and departure in Hawaii. Ensure all information is accurate before proceeding.
  5. In the waiver qualification section, select the appropriate category that applies to you and attach any required documents.
  6. Initial each statement acknowledging your understanding of health insurance responsibilities. This confirms you are waiving out of HPU’s student health insurance plan.
  7. Move on to Form B: Use this worksheet to compare your health insurance plan against HPU's minimum requirements. Fill in all necessary details accurately.
  8. Once both forms are completed, submit them to the Dean of Students Office by the specified deadline for clearance.

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