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Get Tufts University Health Insurance Waiver Form For Tufts University’s Boston & Grafton Campuses 2018
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How to fill out the Tufts University Health Insurance Waiver Form for Tufts University’s Boston & Grafton Campuses online
Filling out the Tufts University Health Insurance Waiver Form is an important step for students seeking to opt out of the student health insurance plan. This guide provides clear instructions on completing the form accurately and submitting it online.
Follow the steps to complete your health insurance waiver form.
- Click ‘Get Form’ button to obtain the form and open it for editing.
- Indicate your school affiliation by selecting from the available options: Dental, Medical, Nutrition, Public Health Programs, or Veterinary. This helps clarify your academic program.
- Fill in your personal details, including your last name, first name, and middle name. Make sure to provide your Tufts ID for identification.
- Provide your address, including the number, street, apartment (if applicable), city, state, and zip code. This information is essential for communication purposes.
- Enter your date of birth and gender. This information is used to verify your identity.
- Input your email address where you can be reached. This ensures that the administration can communicate any important updates regarding your waiver.
- Answer the five yes/no questions regarding your insurance plan. Ensure that the coverage you have meets all requirements as specified, as this is crucial for your waiver approval.
- Fill in your insurance company’s name and policy number. This information should correspond with your coverage details.
- Specify the state where your insurance policy is established, along with the policyholder's name and their relationship to you.
- Review the certification statements carefully. By signing, you acknowledge that you understand the implications of opting out of the school’s insurance.
- Sign and date the form to validate your request. Ensure that your signature matches the name provided in the personal details section.
- If applicable, complete the cancellation section for existing HPHC/UHCSR coverage, providing necessary details and obtaining the required signature.
- Return your completed form to the Student Advisory & Health Administration Office via the specified email or physical address. Ensure you keep a copy for your records.
Complete your Tufts University Health Insurance Waiver Form online today to ensure timely processing!
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To waive your health insurance at UConn, you need to complete the university's health insurance waiver form. Ensure you provide proof of your existing health insurance that meets UConn's requirements. Meeting the deadlines is crucial to avoid automatic enrollment in their health plan.
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