Creating the Extraordinary Student Experience

Important Forms


2018-19 Forms


  1. Students cannot submit petitions for a policy year that has already ended. The deadline to submit a Petition to Waive for any 2017-18 coverage period is August 13, 2018. 
  2. The policy year corresponds to the August-to-August academic year, not the calendar year. See dates here.
  3. If you experience a Qualifying Event and wish to modify an existing selection or waiver, submit the Coverage Status Change form within 31 days. Do not submit a Petition to Waive or Petition to Enroll.
  4. With the exception of Qualifying Events, an SHI Benefits Plan selection stays in effect until the end of the policy year -- 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. 

Change forms:

Member forms:


2018-19 Interim Forms 

Interim eligibility is defined here