Please Read Before Beginning
Student Waiver Form
If you are insured individually or through one of your parents, you may elect to waive the insurance coverage offered by Wagner College.
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 Wagner College 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 New York
●In-patient and out-patient mental health and substance abuse in New York
● Have pharmacy coverage
● Be active, and will cover you while you are within Staten Island, New York (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 Wagner College 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.