The enrollment deadline is 2/15/2023
If you are enrolling in the Opt In Enrollment for the Spring Term, by submitting this form you agree to the terms of the policy and the charge will go onto your tuition bill, no credit card information is needed for this transaction.
Please Contact Auxiliary Services for additional information at 1-315-312-2106
You submitted the Waiver.
******** PLEASE USE HOME ADDRESS WHEN COMPLETING. ********
By submitting my waiver I understand that it is my responsibility to maintain health insurance while enrolled at the University. I am certifying that all medical expenses incurred are my responsibility and if my health insurance information changes I will notify the University. I understand that a waiver is required each academic year.
I have a comprehensive insurance plan that meets my school waiver requirements.
The waiver submission deadline is 2/15/2023
Our student health insurance department will review your waiver
request and send approval or denial to your email address within