Deadline Aug. 12014-15 Fairfield University Student Injury & Sickness Plan
Attention Classes of ’15, ’16, and ’17:
Fairfield University requires all full-time undergraduate students to subscribe to a health insurance policy. Full-time undergraduate students are automatically enrolled and billed $1,483 for the University-sponsored plan administered by Gallagher Student Health & Special Risk. Students who have comparable or better coverage and do not wish to be enrolled in the University-sponsored plan must complete an online waiver to provide proof of coverage. Once the online waiver is completed, students will receive a full credit on their bill.
The deadline for waiving/declining the insurance is August 1, 2014.
For a complete description of the Gallagher Student Health & Special Risk plan, including a description of the available benefits, limitations, and exclusions, please visit www.gallagherstudent.com/Fairfield.
If currently insured, students can waive enrollment. Not all plans provide comparable coverage including out-of-state Medicaid plans, certain HMOs, and managed care plans. Students should check with their insurance company before waiving coverage.
How to Waive
To waive the insurance coverage for 2014-15, students should have their insurance card handy.
- Log on to my.fairfield (http://my.fairfield.edu)
- Click on the ‘Student’ pull-down menu and click the ‘Personal Information’ link
- From the Quick Links section on the left, click the ‘Student Health Insurance Waiver’ link, and complete the form (the fields in red are required)
- Click the ‘Submit’ button at the bottom of the screen