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Insurance Hard Waiver

1. Select sponsor
2. Download Form
3. Profile
4. Insurance Details
5. Confirmation
Hard Waiver Form and Benefits
Medical benefit$250,000 per occurrence
DeductibleNo more than $100 per occurrence
Mental/nervous benefit$50,000 Inpatient/$10,000 Outpatient
Security evacuation*$100,000
*military, political, personal threat, natural disaster

Loyola University Chicago requires all students to purchase and maintain continuous insurance while overseas. By completing this "Insurance Hard Waiver" form, you certify that you are covered by your own insurance which meets or exceeds the required levels described here and you decline to purchase the insurance plan provided to Loyola University Chicago by Cultural Insurance Services International (CISI).

Download the Insurance Hard Waiver form

Please note: This form will need to be signed by a representative from your current insurance company.

Completed forms and insurance documents should be submitted by uploading scanned documents in PDF or image file formats. To do so, please proceed to the next screen.

*Scanned documents are greatly preferred, but if you are unable to scan/upload you may fax documents to (203)399-5209.

Once you have uploaded your completed form, ID card and brochure, you will be notified via email. We will alert you if your request has been accepted or declined. We will do our best to reply within 2 business days, if you don't hear from us, please follow up with an email.

In the event of a decline, you will be given the opportunity to appeal our decision by submitting an
Insurance Hard Waiver Appeal Form.

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Email CISI

or call toll-free

(800) 303-8120

Sponsor Code

Please contact your international education program if you do not know your Sponsor's code.

Email Address

Please provide a valid email address to which we can send your hard waiver status and confirmation receipt.