Waiver/Opting Out Form
- Check out the Important Dates for enrollment periods and policy dates.
- Questions? Check out this video from UHCSR about How to Waive Coverage.
All eligible students billed the Student Insurance (medical) fee each semester will be automatically enrolled in the Student Insurance Plan once the Enrollment/Waiver Period closes, unless they successfully opt out.
**If you successfully opt out during the Fall Enrollment Period and wish to remain opted out for the remainder of the current academic year, you do not need to take any additional action.**
Submit a Waiver Request
Springfield (UIS) Students:
Please click here to submit your Springfield waiver request through UHCSR.
Urbana-Champaign (UIUC) Students:
Please click here to submit your Urbana-Champaign waiver request through UHCSR.
Important: Check your university email regularly for confirmation messages and requests for additional information from UHCSR. Failure to respond to a request for additional information may impact the status of your waiver request.
Waiver Requirements:
- In order for a Waiver to be approved, students must provide proof of being actively enrolled in a comparable plan:
- Comparable Requirements:
- Must be a US-based plan with a US phone number.
- The University may approve the following types of plans after substantiating that a plan's claims administrator can provide proper financial security of claims payment in writing.
- Government sponsored plans
- Expat / Global Employment plans
- The University may approve the following types of plans after substantiating that a plan's claims administrator can provide proper financial security of claims payment in writing.
- Coverage must be effective on or before the Saturday before the first day of classes for the given Semester and extend through the remainder of the Academic Year.
- Must provide access to in-Network emergent AND non-emergent care at one or more of the following health centers.
- Carle Foundation Hospital - Urbana
- OSF Heart of Mary Medical Center - Urbana
- Gibson Area Hospital & Health Services - Gibson City
- Danville Illiana Healthcare Systems - VA - Danville
- OSF Sacred Heart Medical Center - Danville
- Saint Mary's Hospital - Decatur
- Decatur Memorial Hospital - Decatur
- Sarah Bush Lincoln Health Center - Mattoon
- OSF Saint Joseph Medical Center – Bloomington
- Carle BroMenn Medical Center - Normal
- This includes emergency care, urgent care, specialty care, and primary care, for routine and non-routine diagnoses.
- *Health centers for the Springfield campus include
- HSHS St. John's Hospital
- Springfield Memorial Hospital
- Decatur Memorial Hospital
- Jacksonville Memorial Hospital
- Must be compliant with the Affordable Care Act (ACA).
- Including but not limited to:
- unlimited lifetime benefits
- no restrictions on preexisting conditions
- provides benefits for mental health care services
- Including but not limited to:
- Must be a US-based plan with a US phone number.
- Comparable Requirements:
- Note: Approved waivers apply only to the Academic Year during which they were approved.
- If your waiver request was denied, and you believe this decision was reached in error, you must contact United Healthcare Student Resources.
- If your Waiver has been approved, allow 7-10 business days for the fee to be credited to your student account.