Who is eligible to request a waiver to opt-out of the Graduate Student Health Insurance Program (GHSIP):
This waiver request form is for domestic graduate students who are included in the mandatory group (GA/GRA/GTAs) and wish to opt-out of coverage due to having an existing health insurance policy of equal or greater coverage.
Who is NOT eligible to request a waiver using this form:
International students that carry a J visa must contact the insurance office at email@example.com to complete a waiver form. Some international students that complete this online waiver form will have their waiver request denied. You must be sure it is compliant with the mandatory SHIP plan by viewing the International ACA Compliant Wavier Questionnaire (PDF). All international graduate students in F or J immigration status are subject to the conditions of the Mandatory International Student and Scholar health insurance plan; check with the Office of International Programs at firstname.lastname@example.org for any questions or concerns.
How does the waiver work:
Domestic GA/GTA/GRA students who fall under the mandatory coverage requirement may waive out of this policy only by providing evidence of equal or greater coverage than the entirety of the AU policy. Waiver requests to opt-out of the GSHIP received due to insurance purchased through healthcare.gov must be of gold standard or higher in order to be accepted for processing.
What are the deadlines to submit a waiver request to opt-out:
Those who wish to opt out of the student health plan must complete the required form starting July 15 up until October 15 for the Fall semester. Please note that if your waiver is approved in Fall, it will be applied for Spring/Summer as well (annual basis). If you wish to opt out in Spring only, you may do so starting January 15 up until April 15. Waiver applications are accepted for two months into the semester but are subject to prorated insurance costs. For example, if you turn in your waiver in March for a spring semester waiver, you are responsible for paying January and February’s insurance premiums.
Students who waive out of the GSGHP/ISSHP will NOT be eligible for the university subsidy. Students who waive out of the insurance but wish to re-enroll at a later date may optionally do so at any time by contacting the insurance coordinator.
Please be aware that a new insurance waiver request form must be completed at the beginning of each new academic year. If a waiver was completed for fall semester, this will be automatically applied to spring/summer semester.
How will I know if my waiver request to opt-out is approved:
Once this form is successfully submitted with all steps, the student will receive an email from United HealthCare stating that your waiver request has been approved. Please allow seven business days for Auburn University to receive this information from United HealthCare, process this waiver, and reverse the charge on the student’s e-bill for the GSHIP premiums.
Please contact the Graduate Student Health Insurance Office at 334-844-4506 or via email at email@example.com if you need any help with this form.
Last modified: January 30, 2023