University of Portland

2021-2022 Student Insurance Waiver Application

Your Option to Waive Student Health Insurance

The University of Portland requires all undergraduate students taking 12 or more credit hours to carry medical insurance comparable to that offered under the school’s Student Health Insurance Plan.

Each academic year, you have the opportunity to waive (decline or opt out of) the school’s coverage. You will automatically be enrolled in coverage through the Student Health Insurance Plan for the entire academic year and the premium charged to your account unless you waive this coverage by the waiver deadline of Saturday, August 28, 2021.

To submit a waiver application for the Student Health Insurance Plan coverage, you will need to have your other health information before you begin the online waiver application form. You will be asked to provide some personal contact and health insurance information on the waiver application form, such as your carrier’s phone number and your policy number.

All waiver applications will go through an audit process in order to confirm the other coverage meets the necessary requirements.

Once your waiver application has been audited, you will receive email confirmation of its approval or denial. Please, allow 5-7 business days for this process.

If you have any questions about general waiver rules or processes, please contact University of Portland Student Accounts.

If your waiver has been denied and you are looking for more information, or if you have not received notification of your waiver status within 5 days of submitting your waiver, please contact PacificSource Customer Service at 888-977-9299 or studenthealth@pacificsource.com

The Deadline to submit a waiver application is Saturday, August 28, 2021

Questions?

Contact the Student Membership Department:
MembershipStudentReps@PacificSource.com
541-284-7961
Monday – Friday, 8:00am – 5pm PST