Request for Reconsideration of Denied Waiver

Students wishing to appeal the decision regarding an insurance waiver request must submit an email to the Student Insurance Department at Purdue University student health services student-insurance@purdue.edu with the subject line "Student Insurance Waiver Appeal", and include the following information:

• Student's Name
• PUID
• Email address
• Detailed reason why you are appealing the waiver decision
• A document showing a summary of insurance benefits (usually found in chart form in your insurance plan's brochure)
• A front and back copy of your insurance card
• Documents showing your visa/non-immigrant status

All waiver appeals will be reviewed by the Purdue University Health Insurance Compliance Board. The determination made by the compliance board is final and binding. You will be notified by email  of the committee's decision within five business days of submitting your appeal.

If your appeal is denied, the mandatory health insurance requirements must be met within 5 days after receiving the email notification of the board's decision. If you do not purchase the required insurance within the time allotted, there will be an academic registration hold placed on your account and you will incur a $200.00 late fee.