Welcome to the Domestic Student Insurance Waiver Section

If you already have insurance coverage provided individually or by one of your parents, then you may choose to waive the insurance provided by Wittenberg University. You must provide ALL the necessary information below to confirm that valid insurance coverage is in place for the entire academic year. This includes:

• Head of Household Information (First and Last Name, Phone Number)
• Insurance Company Information (Name, Phone Number, ID Number)
• Student Information (Name, E-Mail Address, ID Number)

By providing this information in a secure website session, you are accepting full financial responsibility for medical services rendered to you. Before waiving out of the Student Plan, please consider:
(1) Whether this plan will cover the co-insurance and deductible requirements of your primary plan.
(2) Whether Your current plan provides coverage while you are out of area or away from home.

Please confirm that you accept full responsibility for all of your medical expenses by selecting the check box below and then click the Accept & Continue button.

Click HERE to download a copy of the 2008-09 Student Accident and Sickness Brochure.

I have read the brochure and accept the above conditions.


© 2008-09 EIIA Student Programs