Skip to main content

Dick's House/Dartmouth College Health Service

5-7 Rope Ferry Road, HB 6143
Hanover, NH 03755
Phone: 603-646-9400
Fax: 603-646-9410
[an error occurred while processing this directive]
[an error occurred while processing this directive]

2015 - 2016 DSGHP Waiver Requirements

In order to waive DSGHP coverage for the 2015 - 2016 academic year, your insurance will be audited to be sure that it meets the Affordable Care Act (ACA) requirements in the Hanover, NH area.  If it is found that your insurance does not meet the ACA requirements in the Hanover, NH area, you will be automatically enrolled into the DSGHP and the premium will be charged to your tuition account.

Please be sure the information you have entered above is correct, as incorrect information will result in your waiver being denied.

In addition to entering your insurance information on the waiver you must check "Yes" or "No" in regard to the following statement in order for your waiver to be processed.

  • I understand that by submitting this insurance waiver I am authorizing the DSGHP Office to audit my insurance coverage.  If upon audit, it is found that my coverage fails to meet the ACA requirements in the Hanover, NH area, or I have entered incorrect information, I will be automatically enrolled into the DSGHP and the premium will be charged to my tuition account.

Please note the following:

  • Insurance waivers are valid for one (1) year only, new waivers need to be submitted annually.
  • If your insurance coverage changes during the current academic year, you will need to submit a new waiver.  Failure to submit a new waiver may result in automatic enrollment into the DSGHP, and the premium charged to your tuition account.

Click Here to be brought to the Dartmouth Student Group Health Plan home page.

 

Last Updated: 6/26/15