Important Forms

Our office is experiencing a high volume of requests.  Please allow 10 BUSINESS DAYS for our office to process your request.  You will be notified by email of our decision.  

Notices: 

1. The policy year corresponds to the academic year (Autumn, Spring, Summer semesters), not the calendar year. Please see our Rates, Dates and Deadlines page.
2. Students cannot submit petitions for a policy year that has already ended. 
3. The deadline to submit a Petition to Waive for any 2025-26 coverage period is 11:59 p.m. EST on August 17, 2026.
4. If you experience a Qualifying Event and wish to modify an existing selection or waiver, submit the Qualifying Event form within 31 days. Do not submit a Petition to Waive or Petition to Enroll.
5. Except for Qualifying Events, the SHI Benefits Plan selection stays in effect until the end of the academic year (Autumn, Spring, Summer semesters) -- assuming academic eligibility is maintained -- and students cannot modify or drop that selection term by term. For example, if a student selects the SHI Benefits Plan for autumn, they cannot waive it for spring/summer. 

Enrollment Change Forms:

NOTE:  Students that are NEW to the university for AUTUMN 2025 should complete the annual Select/Waive process for the 2025-2026 plan year in My Buckeye Link prior to the August 19, 2025, deadline.

FORMS FOR THE 2025-26 YEAR WILL BE AVAILABLE AUGUST 1, 2025. 

• 2025-26 Petition to Waive - Domestic Students 
• Use this form if: You are a domestic student who missed the Select/Waive deadline OR My Buckeye Link would not let you waive.
  
  

• 2025-26 Petition to Waive - International Students
• Use this form if: You are an international student who meets waiver criteria.
  
  

• 2025-26 Petition to Enroll 
  •  Use this form if: You missed the Select/Waive deadline or have special academic circumstances.
    
    

•  2025-26 Qualifying Event  
• Use this form if:  You wish to modify your existing selection or waiver due to a Qualifying Event.  Note:  If you are a member of the armed forces who are required to interrupt your academic year for service, please contact us for assistance.

EARLY ARRIVAL COVERAGE FORMS WILL BE AVAILABLE JULY 21, 2025.

• 2025-26 Early Arrival Coverage – International 
• 2025-26 Early Arrival Coverage – Domestic 

View eligibility for Early Arrival Coverage.

Our office is experiencing a high volume of requests.  Please allow 10 BUSINESS DAYS for our office to process your request.  You will be notified by email of our decision.  

Notices: 

1. The policy year corresponds to the academic year (Autumn, Spring, Summer semesters), not the calendar year.  View dates.
2. Students cannot submit petitions for a policy year that has already ended. 
3. The deadline to submit a Petition to Waive for any 2024-25 coverage period is 11:59 p.m. EST on August 18, 2025.
4. If you experience a Qualifying Event and wish to modify an existing selection or waiver, submit the Qualifying Event form within 31 days. Do not submit a Petition to Waive or Petition to Enroll.
5. Except for Qualifying Events, the SHI Benefits Plan selection stays in effect until the end of the academic year (Autumn, Spring, Summer semesters) -- assuming academic eligibility is maintained -- and students cannot modify or drop that selection term by term. For example, if a student selects the SHI Benefits Plan for autumn, they cannot waive it for spring/summer. 

Enrollment Change Forms:

NOTE:  Students that are NEW to the university for SUMMER 2025 should complete the annual Select/Waive process for the 2024-2025 plan year in My Buckeye Link prior to the April 29, 2025, deadline.

• 2024-25 Petition to Waive - Domestic Students 
  • Use this form if: You are a domestic student who missed the Select/Waive deadline OR My Buckeye Link would not let you waive.
    
    

• 2024-25 Petition to Waive - International Students 
  • Use this form if: You are an international student who meets waiver criteria.
    
    

• 2024-25 Petition to Enroll  
  • Use this form if: You missed the Select/Waive deadline or have special academic circumstances.
    
    

•  2024-25 Qualifying Event  
  • Use this form if:  You wish to modify your existing selection or waiver due to a Qualifying Event.  Note:  If you are a member of the armed forces who are required to interrupt your academic year for service, please contact us for assistance.

Early Arrival Coverage Forms:

• 2024-25 Early Arrival Coverage – International 
• 2024-25 Early Arrival Coverage – Domestic 

View eligibility for Early Arrival Coverage.