Domestic Students – If you can ANSWER these questions YES, you may waive enrollment in the university insurance plan.

1. Will you be insured for the entire period for which you are registering?
2. Does your plan provide inpatient and outpatient mental health benefits?
3. Does your plan offer Prescription Drug Coverage?
4. For female students, does your plan provide maternity benefits as any other temporary medical condition?
5. Does your plan have a provider network in the Tallahassee (Leon County) area? Coverage must be available for urgent care and physician visits as well as emergency and local hospital care.
6. Does your plan offer a minimum of $100,000 in benefits yearly?

Have the following information available to complete the insurance waiver:

1. The name of the person who pays your insurance premium and their relationship to you.
2. The name, mailing address and telephone number of your insurance carrier.
3. Your policy number and group number. The group number is optional.
4. The effective date of your insurance policy. The effective date must be at least one day before the beginning of the term for which you plan to register. Do not enter a termination date for your policy if the plan automatically renews on the anniversary of the policy start date.

Intercollegiate Student Athletes
CONTACT THE COORDINATOR OF INSURANCE/RISK MANAGEMENT AT THE FSU ATHLETIC DEPARTMENT AT (850) 645-2700 IF YOU ARE PLANNING TO PARTICIPATE IN INTERCOLLEGIATE ATHLETICS. The school sponsored insurance will take care of your health care needs outside of participation in intercollegiate athletics. The school sponsored insurance will not cover your participation in intercollegiate athletics.