Get Tufts University Health Insurance Waiver Form For Tufts University’s Boston & Grafton Campuses 2019-2025
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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 who wish to waive the university's student health insurance plan. This guide provides clear and detailed instructions on how to complete the form online, ensuring you understand each section and what is required.
Follow the steps to successfully complete the health insurance waiver form.
- Click the ‘Get Form’ button to access the Tufts University Health Insurance Waiver Form. This action will allow you to open the document in an online editor where you can enter your information.
- Begin by indicating your school program. You will find options such as Dental, Medical, Nutrition, Public Health Programs, and Sackler. Select the program you belong to.
- Fill in your personal details. Provide your last name, first name, middle name, Tufts ID, address, city, state, zip code, date of birth, and gender.
- Enter your email address. Ensure that you provide a valid email as it may be used for further communications regarding your waiver.
- Answer the series of questions regarding your alternate health insurance coverage. For each question, indicate 'Yes' or 'No' depending on whether your policy meets the specified requirements related to services provided in the Massachusetts area.
- Complete the insurance information section. This includes the insurance company's name, policy number, and the state where the policy is underwritten.
- Provide the policyholder's name and their relationship to you as the student. This information verifies your connection to the insurance policy.
- Review the certification statement which confirms your understanding and acceptance of the waiver terms. You must acknowledge your responsibility for medical expenses by completing the waiver.
- Sign and date the form at the designated areas. Your signature indicates your agreement with the information provided and the waiver terms.
- If you are currently enrolled in HPHC/UHCSR and wish to cancel your coverage, complete the cancellation section. Indicate the cancellation date and sign accordingly.
- After completing the form, save your changes. You can then download, print, or share the completed form as needed.
Ensure you complete your documents online to facilitate a smooth waiver process.
Waiving health insurance at Tufts University is straightforward. You need to complete the Tufts University Health Insurance Waiver Form For Tufts University’s Boston & Grafton Campuses, providing proof of other health coverage. Ensure to submit this form by the deadline to avoid being charged for the university's health plan. This process guarantees that you maintain adequate health coverage tailored to your needs.
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