If you already have insurance coverage provided individually or by one of your parents, then you may choose to waive the insurance provided by Pacific Lutheran University. You must provide ALL the necessary information below to confirm that valid insurance coverage is in place for the entire academic year. This includes:
• Head of Household Information (First and Last Name, Phone Number)
• Insurance Company Information (Name, Phone Number, ID Number)
• Student Information (Name, E-Mail Address, ID Number)
PRIVACY POLICY - The personally identifiable information that you provide through the secure website waiver process is made available only to authorized agents of Pacific Lutheran University for a period of one (1) year. If you need to change any previously submitted waiver information, please choose Questions? and one of our representatives will help you. Note that any changes to the EIIA online waiver privacy policy will be updated on this web page and provided via e-mail to all students that waived in the previous year using the online waiver form.
By providing this information in a secure website session, you are accepting full financial responsibility for medical services rendered to you. Before waiving out of the Student Plan, please consider:
| (1) |
Whether this plan will cover the co-insurance and deductible requirements of your primary plan. |
| (2) |
Whether Your current plan provides coverage while you are out of area or away from home. |
