The enrollment deadline is 2/15/2024
If you are completing the Opt In Enrollment for the 2023/2024 term, please note that by submitting this form you agree to the terms and conditions of the policy. 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.
The waiver deadline is 2/15/2024
******** 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.