If my waiver is approved: I release the University of San Francisco, its directors, officers, employees and agents from any and all liability, including any and all claims, demands, causes, of action (known or unknown), suits, or judgments of any and every kind that I may suffer as a result of my waiving the USF-sponsored health plan described above.
I understand that a new waiver must be submitted at the beginning of each academic year. Waivers submitted in the Fall are also good for the Spring. Waivers submitted in Spring do not cover the following Fall semester.
The University reserves the right to verify the information you have provided throughout the waiver period.
Please allow Health Promotion Services up to 5-7 business days to review all documents after submitted to our department.
If you agree to the conditions of the health insurance waiver, please check "Agree" below and sign your name using Adobe Sign.
Please note: Your health insurance waiver will not be reviewed until you click the submit button below.