Health Insurance Temporary Absence Waiver Request Form
This form is used to request a waiver of the mandatory insurance because you will be outside the US for at least three entire calendar months.
This form is used to request a waiver of the mandatory insurance because you will be outside the US for at least three entire calendar months.
This form is used to request a waiver of the mandatory insurance requirement for F-1 and J-1 students or scholars whose Forms I-20 or DS-2019 were issued by U-M. If you are currently on F-1 Optional Practical Training, submit your OPT insurance waiver request through M-Passport.
This form is used to request changes to your existing U-M International Student/Scholar Health Insurance coverage, such as a change to the coverage end date, the addition of a dependent, etc.