I understand and agree that, according to the law of the State of NJ, as a full time student I am required to have health insurance coverage, either on my own or through a family member. I understand and agree that I am automatically enrolled in the Pillar health insurance plan and I shall pay $497 to Pillar or my insurance premium unless I return this waiver form to Pillar affirming that I am covered by health insurance. I understand and agree that I have thirty (30) days from the first class meeting of this current term to return this waiver form to Pillar, after which time the charge of $497 cannot be removed from my account, nor refunded to me.

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Waiver forms must be submitted prior to your semester start.