Complete this form ONLY if you have Proof of Alternate Health Insurance. NOTE: Your insurance must be valid and accepted in the Greater Charlotte/Mecklenburg County area.
Students who have other coverage and are waiving out of the Student Health Insurance Plan MUST complete the online Waiver Form below and include a copy of your insurance card (front and back) by the due date.
The Waiver must be completed by 01/19/2024. The opportunity to waive coverage is limited ONLY to students who have other health insurance that is valid in the Greater Charlotte/Mecklenburg County area.
Required items are indicated with an asterisk (*). You MUST click the Submit Button to complete the form.