Byui health plan 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your full name, I-number, contact email address, and phone number in the designated fields.
3. Indicate whether you will have full insurance coverage in the Rexburg area by checking the appropriate box.
4. Specify the semester you wish to waive by filling in the blank provided.
5. Select the type of policy under which you are covered by checking one of the options listed.
6. Fill out your policy information, including policy number, group number, plan deductible, policy holder’s name, insurance company name, policy holder’s birthdate, claim phone number, and claim address.
7. Sign and date the form at the bottom to authorize BYU–Idaho to verify your coverage.
8. Review all entered information for accuracy before submitting. Once complete, submit this form via fax, mail, or email to ensure it is received by the deadline.

Start using our platform today to easily fill out your BYUI Health Plan Waiver for free!