Waiver Appeal

Note: The forms below are waiver appeals not the health insurance waiver application.

Waiver Appeal

If your health insurance waiver was denied, you can fill out a waiver appeal form. Waiver appeals will only be accepted if they are submitted by our deadline. Please give our staff 2-3 business days to look over your appeal. Our staff will notify you through email if the waiver appeal has been accepted or denied.

Health Insurance Late Waiver Appeal

Late Waiver Policy

Students who fail to submit a health insurance waiver by the appropriate deadline may file a late waiver appeal request to Health Promotion Services. Decision notices will be sent by mail within 4-5 business days of receiving a completed waiver appeal. If your late waiver appeal is approved a $250.00 late waiver fine will be placed on your student account and you will receive a full refund of the semester health insurance premium. If your late waiver appeal is denied you will have an opportunity to waive the USF-sponsored insurance plan the following semester.

In order to qualify for a late waiver appeal the effective date of your coverage must be prior to February 1st, and remain in effect for the remainder of the academic year. Late Waiver Appeals for the Spring 2016 semester will not be accepted after February 25, 2016.

Health Promotion Services

2130 Fulton Street
University Center, Fifth Floor
San Francisco, CA 94117

Hours: 8:30am to 5:00pm

Tel: (415) 422-5797
Fax: (888) 471-2290
Email: hps@usfca.edu

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