Request a waiver for the premium refund if your policy matches or exceeds the UB-sponsored policy.
If you did not yet read the informational insurance information, please do that before completing and submitting this form.
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It is your responsibility to check your UB email. If you request a waiver and it is denied, your notification will arrive via email. In addition, the University no longer generates a paper tuition statement. Your Student Account Statement is by eBill only. Failure to view your eBill details will not be accepted as a reason to waive the insurance charge after the published deadline.
If your HUB student account has been billed the Student Health Insurance premium and you do not meet the criteria for the requirement, please email Haylor, Freyer and Coon for a special circumstance opt-out option. This form is ONLY available to students who qualify due to part-time hours or online (remote) only learning.
Phone: 866-535-0456
Email: student@haylor.com
