Forms: Medical Insurance Waiver Form
Medical Insurance Waiver Form
International students attending the University of Delaware on an F-1 or J-1 Visa are automatically enrolled in an accident and sickness insurance plan. Federal regulation requires J-1 Visa status students to have this insurance and the University of Delaware requires F-1 Visa holders to hold this insurance while in the U.S. The insurance premium appears as a charge on the student’s semester tuition bill.
If an international student has individual health insurance and wishes to be exempted from the UD plan, the student must complete this waiver form.
Sending this document constitutes a waiver and releases the University of Delaware from any and all responsibility for the costs of any and all illness or accident claims. Furthermore, this constitutes understanding that a request to show proof of insurance coverage with an insurance card, translated in English, may occur at any time.
OISS IS NO LONGER ACCEPTING INSURANCE WAIVER FORMS FOR THE SPRING 2012
If you believe you were charged/not charged medical insurance by mistake, please contact us at oiss@udel.edu
