Quick Links

Welcome Fairfield University Students

Online Petition Process

If there were extenuating circumstances that prevented you from meeting the waiver deadline, you can submit an Online Petition to Waive after the Deadline form. To access this form, please click the Log In link at the top right to create a user account or log in with your existing credentials. Once logged in, click on 'Petition to Waive' under 'Student Access' and select the Petition Form.

The Petition to Waive process acts as a second level appeal for all students who missed the published waiver deadline. Submission of a petition to waive does NOT guarantee approval.

Please Note: Your Online Petition to Waive Form will be processed within 10 business days of receiving your eligibility from your college/university. Once your Petition to Waive has been processed, you may check the status online under "My Account".

Attention Students: The deadline to submit the Petition to Waive form has been extended to November 25, 2016.

This site has been designed especially for you to provide information about the Student Health Insurance Plan.

You can download a plan brochure or Frequently Asked Questions, look for participating providers, learn more about further enhancements to your plan or additional products that are available to you. You can email Gallagher Student or click on the "Live Help" icon to get answers to any questions you may have on the coverage available to you.

Click on 'Account Home' to view your personal and dependent coverage information, edit your primary address, or generate an ID card.

Attention Students,

If you would like to waive participation in the Fairfield University Student Health Insurance Plan for the 2016-2017 policy year, please follow the instructions below. Prior to waiving, you will want to confirm your insurance will provide comparable coverage while at Fairfield University.

1. Log on to My.Fairfield (http://my.fairfield.edu).
2. Click on the Student pull-down menu and click the Personal Information link
3. From the Quick Links section on the left, click the Student Health Insurance Waiver link, and complete the form (the fields in red are required)
4. Be sure to click the Submit button on the bottom of the screen