STUDENT FINANCIAL SERVICES

Student Health Insurance Plan Waiver

Use this form to begin the process of waiving health insurance.

Identify the student by entering the student's ID number (letter "E" followed by eight digits):

and date of birth (in the form Mmm dd,yyyy; ex: Jan 13,1981):

Click here to verify the student's ID and date of birth:


© 2015 Emerson College
120 Boylston Street
Boston, MA 02116-4624
617-824-8500