If you applied for a waiver and your waiver application was denied, you may appeal the decision in writing.
Please read all of the instructions below before filing an Appeal:
If your Waiver Application was denied because you missed the waiver application deadline, DO NOT FILE AN APPEAL.
Appeals will not be considered for students missing the waiver deadline.
Your appeal must be submitted to the Insurance office at the Student Health Center within seven (7) days of the date of notice of denial. Appeals received after the seven-day grace period will not be considered. Appeals will be considered for the current term only. Waivers granted on Appeal will NOT be applied to any previous term. Failure to complete the entire Appeal of Waiver Denial form, or to provide appropriate documentation, will result in your appeal being denied. You will remain enrolled in UCSHIP for the appropriate semester and be responsible for all UCSHIP fees.
Evaluation of your Appeal will be based on comparability insurance guidelines in effect at the time of the original Waiver Application.
Required Documents to File an Appeal of Waiver Denial
1. Attach copy of Waiver Denial Notice.
2. Attach copy of front and back of current insurance card.
3. Attach copy of the Complete Insurance Benefit Summary (this can be found online at your insurance company’s website by making a user name and password login or by calling your insurance company).
No action will be taken on your Appeal without all of the above attachments.
Communication regarding the status of your Waiver Appeal will be sent to your UC Merced email address.
Please only submit your Waiver Appeal 1 time. Once we receive your Appeal we will send an email confirmation.
If you still want to file an appeal of waiver denial, download the UC SHIP Appeal of Waiver Denial form and submit the completed form to Insurance Office at the Student Health Center within seven (7) days of the date you received the notice of your waiver denial.
Submitting an appeal can be done by mail, fax or email:
H. Rajender Reddy Health Center
University of California, Merced
5200 N. Lake Rd.
Merced, CA 95343
Disclaimer: Submission of an appeal is not a guarantee of an approval