University of Southern California
USC Student Affairs

About USC Student Health Insurance

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Waiver Form

The university requires that ALL students carry supplemental health insurance. All students carrying 6 units or more are automatically enrolled in, and charged for, the USC Student Health Insurance Plan. All International and Health Sciences Campus students are automatically enrolled in the health plan even if carrying less than 6 units.

Enrollment will only be waived if documented proof of coverage from another health insurance plan, that meets the University’s criteria, is presented to the Student Health Insurance Office.

Coverage is for Fall Semesters only from August 18, 2008 through January 11, 2009. The Waiver Deadline is September 12, 2008.

Waiver Form  This document uses Adobe Acrobat

 

These forms are presented using Adobe Acrobat. You will need a copy of Acrobat in order to view or print these files. You can download Acrobat for free by choosing one of the methods below:

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University of Southern California University of Southern California