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Get MTSAC Health Insurance Waiver Application

F Alternate Insurance: Primary Subscriber Name: Relation to Subscriber: Parent Spouse CAN I WAIVE OUT OF STUDENT HEALTH INSURANCE? F-1 students whose I-20s have been issued by Mt. San Antonio College are required to have medical insurance coverage under the Mt. SAC Health Insurance Plan. To view the Student Insurance Plan visit www.studentinsuranceusa.com. Waiver Applications will be considered or granted only to those individuals who are: Concurrently Enrolled (If your I-20 has b.

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