PLEASE READ THIS BEFORE LOGGING ON
International undergraduates or graduates who are required to provide evidence of insurance under the F1/J1 Visa requirements or one of the following: Physical Therapy, Pharmacy, Physician's Assistant, Communication Science and Disorder students who are required to provide evidence of coverage under the terms of a clinical affiliation agreement. If you fall under these categories of students, then you must provide confirmation that you have the required coverage, or you will be enrolled in a plan selected by the University and charged the cost of coverage.
The requirements of the F1/J1 Visa are:
Medical Benefits of at least $100,000 per accident or illness
Repatriation of Remains in the amount of $25,500
Expenses associated with the medical evacuation of the exchange visitor to his or her home country in the amount of $50,000
A deductible not to exceed $500 per accident or illness
RINKER CAMPUS STUDENTS
The requirements of your clinical practice affiliation agreement stipulate that the student will provide evidence of health insurance coverage at the beginning of the clinical experience.
Upon successful completion of this form you will exit to “You have successfully submitted your waiver” page.
You will receive an email sent to your Chapman email account confirming successful submission of this form. If you do not get the email please contact the Health Center.
Submissions are audited. Submitting false information could subject you to disciplinary action.
If you have questions please call the Student Health Office at 714-997-6851
Your log in account is the same as your Chapman email account and password.