If you submitted an online waiver and it was denied, you may submit a waiver appeal if you believe your insurance does meet the criteria. Your appeal must be submitted within 10 business days from your denial date in order for your waiver to be considered. You must have already completed the online waiver and received a denial to use this form.
To securely submit your SHIP Waiver Appeal, log in to the eTang patient portal with your Calnet ID and passphrase.
- From the welcome page, click "MESSAGES" on the left side menu. Click "New Message". (Note: If this is your first time using the eTang patient portal, you will need to complete the Notice of Privacy Practice before proceeding to the appeal form. Please go to the home page and click on "Medical Clearances" on the left to complete this form and then follow the rest of the instructions.)
- Under "Student Health Insurance Office (SHIO)", select "Request Student Insurance Plan (SHIP) Waiver Forms" and select "SHIP Appeal Form".
- Fill out the form completely and click the "Send" button.
If you do not receive a response to your appeal within 30 days, please contact the SHIP office. Please note, you may be contacted via secure message in the eTang patient portal if additional documentation is needed to process your appeal.