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  • Please Read Before Beginning

    Shaw University requires all full-time registered students to have active coverage in order to take classes.

    Student Waiver Form

    If you are insured individually or through one of your parents, you may elect to waive (decline) the insurance coverage offered by Shaw University.

    You must provide ALL of the necessary information below and answer the questions to successfully waive this coverage. Your primary insurance coverage must cover you throughout the entire academic year, and your coverage must exceed or be comparable to the benefits provided under the Shaw University Student Health Insurance plan.

    Please have the following information available:

    ● Student Information (including your student ID number)

    ● Policyholder’s information, if it is not you (name and telephone number)

    ● Insurance company information (name, phone number and ID number)


    Waiver Criteria

    It is required that your insurance cover:

    ● In-patient and out-patient medical care coverage in North Carolina

    ● In-patient and out-patient mental health and substance abuse in North Carolina

    ● Have pharmacy coverage

    ● Be active, and will cover you while you are within Raleigh, North Carolina (or local area where you will be residing and studying for the academic year)


    Privacy Policy

    The personally identifiable information that you provide through this secure website is made available only to authorized agents of your institution and EIIA for a period of one (1) year.


    Important Information

    After successfully waiving coverage, you will be unable to gain coverage through the Southwestern University insurance policy without a “Qualifying Life Event”. If you experience a Qualifying Life Event, you must notify EIIA at 888.255.4029 within 30 days of losing your coverage to be eligible for special enrollment.

    If you need to change any previously submitted waiver information, please contact us for assistance by calling 888-255-4029 or texting 312-620-8902.


  • I have read the above information and wish to continue
  • Student Information

  • MM slash DD slash YYYY
  • Policy Holder and Insurance Information

  • Please choose the best option for your carrier. For example, if you have Anthem BCBS Connecticut, please select Blue Cross & Blue Shield (BCBS). If you have Aetna Better Health, please select Aetna. If your carrier is not included please select ‘Other.’
  • Your Insurance Company was not on the list, please type in the name of your carrier.
  • Waiver Criteria

    It is required that your insurance cover:

    ● In-patient and out-patient medical care coverage in North Carolina

    ● In-patient and out-patient mental health and substance abuse in North Carolina

    ● Have pharmacy coverage

    ● Be active, and will cover you while you are within Raleigh, North Carolina (or local area where you will be residing and studying for the academic year)

  • It is required that your insurance cover you for routine, non-emergency care, as well as emergency care while you are within the City and State of Raleigh, North Carolina (or local area where you will be residing and studying for the academic year). It is likely that your waiver will not be approved.

  • Out of state Medicaid will not be accepted.

  • Please make sure you enter in your correct student ID number, as an incorrect number may cause delays

  • Agreement

© 2025 Educational & Institutional Insurance Administrators, Inc.
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