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Health Insurance Funding Request 1617
Wake Forest University requires health insurance for all full-time enrolled students. Students may choose to ENROLL in Student Blue or request to WAIVE enrollment if they carry comparable personal health insurance meeting the criteria set by WFU. The criteria for waiver can be found at
as well as on the Student Insurance Plan website,
. Students receiving need-based financial aid who enroll because of lack of coverage or their current plan does not qualify for a waiver may request additional assistance.
Last Name, First Name, Middle Initial
Student's Wake Forest ID number
Do you have coverage under either of your parents' health insurance plan?
Has either parent attempted to waive the Student Blue plan only to have the waiver request denied?
Explain why your parent(s) are not able to provide you with comparable health insurance coverage.
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