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PLEASE PRINT THIS FORM Student Health Insurance EnrollmentWaiver Form, Summer for Students under Age 18 $691 Coverage Period 551

PLEASE PRINT THIS FORM Student Health Insurance EnrollmentWaiver Form, Summer for Students under Age 18 $691 Coverage Period 551

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Understanding the Student Health Insurance Enrollment/Waiver Form

The Student Health Insurance Enrollment/Waiver Form is essential for students under age eighteen at Regis University. This form allows students to either enroll in the university's health insurance plan or waive coverage if they have alternative insurance. The coverage period for this plan is from May 11 to August 21, 2011, with a total cost of $691. Understanding the purpose of this form is crucial, as Regis University requires all students to have health insurance to ensure their well-being and access to necessary medical services.

Steps to Complete the Enrollment/Waiver Form

Completing the Student Health Insurance Enrollment/Waiver Form involves several straightforward steps:

  1. Obtain the form from the university's website or student services office.
  2. Fill in personal information, including your name, student ID, and contact details.
  3. Select whether you wish to enroll in the insurance plan or waive it.
  4. If waiving, provide details of your current health insurance provider.
  5. Review the form for accuracy and completeness.
  6. Submit the form by the deadline of June 11, 2011, to ensure compliance.

Obtaining the Enrollment/Waiver Form

The Student Health Insurance Enrollment/Waiver Form can be obtained through multiple channels. Students can access it via the Regis University website under the health services section. Additionally, copies may be available at the student services office on campus. It is advisable to obtain the form as early as possible to allow ample time for completion and submission before the deadline.

Key Elements of the Enrollment/Waiver Form

Several key elements must be included in the Student Health Insurance Enrollment/Waiver Form:

  • Student Information: Full name, student ID, and contact information.
  • Insurance Selection: A clear choice between enrolling in the university's plan or waiving it.
  • Insurance Provider Details: If waiving, the name and policy number of the current insurance provider.
  • Signature: A signature is required to validate the form and confirm the information provided.

Legal Requirements and Compliance

Regis University mandates that all students maintain health insurance as part of their enrollment criteria. This requirement is in line with legal standards aimed at ensuring students have access to medical care. Failure to complete the Student Health Insurance Enrollment/Waiver Form by the specified deadline can result in automatic enrollment in the university's insurance plan, along with associated costs. Understanding these legal implications is vital for students to avoid unnecessary charges.

Important Dates and Deadlines

Students should be aware of critical dates related to the Student Health Insurance Enrollment/Waiver Form:

  • Coverage Period: May 11 to August 21, 2011.
  • Enrollment/Waiving Deadline: June 11, 2011.

Staying informed about these dates helps ensure that students complete the necessary steps in a timely manner.

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