Welcome to the UCSC Student Insurance On-line Waiver Site!

This site is currently open for  Spring  2017 Waivers Only

To begin, please have your insurance information available. Once you submit your Student ID and date of birth to view the waiver form you will only have 15 minutes to complete and submit the waiver. If you are not able to complete the waiver in that time you should close your web browser and come back to the on-line waiver once you have the information you need to complete it. If you are experiencing difficulty with the on-line waiver application, please call Wells Fargo Student Insurance at 800-853-5899 or email studentinsuranceservices@wellsfargo.com.

Insurance Waiver Login

Please note, minimum benefit standards represented in this waiver application may be revised for future waiver periods if health care legislation or UC policy requires such a change.

Products and services are offered through Wells Fargo Insurance Services USA, Inc. a non-bank insurance agency affiliate of Wells Fargo & Company. Products and services are underwritten by unaffiliated insurance companies except crop and flood insurance, which may be underwritten by an affiliate, Rural Community Insurance Company. Some services require additional fees and may be offered directly through third-party providers. Banking and insurance decisions are made independently and do not influence each other.