Waiving or Cancelling RFI
To request cancellation of coverage during the open enrollment period, complete and submit a cancellation request form from May 1 through June 15.
To request cancellation of coverage outside of the open enrollment period, complete and submit a cancellation request form along with a certificate of coverage from your new insurance provider showing proof of new coverage within 30 days of the date of change. If approved and documents are received within 30 days of the date of change, we will cancel your coverage as of the effective date of the new coverage.
Because health insurance is a University requirement, if you cancel your medical plan coverage, you must also submit a health insurance waiver request form.
To cancel your benefits coverage after you are first eligible or outside of the annual open enrollment period, you must have a change in family or work status.
Status changes include:
- Change in legal marital status, including marriage, divorce, or annulment
- Death of your spouse or last eligible dependent child
- Birth or adoption of your eligible dependent child
- Change in last dependent child's eligibility because of age
- Commencement or termination of employment for you, your spouse, or dependent
- Change in your or your spouse's employment status from part-time to full-time, or from full-time to part-time
Choose your program below for waiver and cancellation forms for the 2025-2026 plan year.