Health Forms & eBill Information

Important Message from Emmons Wellness Center & eBill Account Deadline.

Dear Incoming Students,

As a new student at Occidental, your health and well-being is important to us. Our goal is to ensure that each and every student has accessible, culturally sensitive and high-quality medical care, psychological counseling services and student-driven wellness education. On campus, these services are available through the Emmons Wellness Center.

In preparation for your arrival, we want to make sure you have access to health and wellness resources both on campus and locally. To do this, we must ask for some important health and insurance information. Please read below for instructions on submitting this information. We kindly ask that all health forms be completed by Monday, August 1, 2022 and that the form to waive or opt-in to health insurance be completed by Monday, August 15, 2022.

All new student health forms can be accessed at You will need your myOxy login in order to access the forms. New student health forms must either be printed, signed and re-uploaded or completed electronically.

The following forms are due by August 1, 2022:

  • Financial Responsibility and Consent to Treatment (must be signed by student and parent/guardian)
  • Personal Health History (this can be completed online - you do NOT need to upload a copy of this form as it is purely an electronic based questionnaire)
  • Immunization Record (MUST be signed by a physician, an official printout from a State record agency, yellow vaccination card, or an immunization record on official letterhead from a hospital, facility, or doctor's office)
  • COVID Vaccination proof (Uploaded on the Main page of the MyHealth Portal - Orange Button labeled "Enter My COVID-19 Vaccine Information)
  • Physical Exam (only required of individuals living on campus and falling into select categories - please see the form for additional information)  

Please keep in mind that while you upload your forms, all forms have to be manually reviewed by our medical providers before the hold can be removed. Please allow our medical providers 5-7 business days to process any clearance forms.

Health Insurance/Health Insurance Waiver
All enrolled students must have health insurance through an ACA accredited/approved health insurance plan. For on-campus study, students are required to have insurance that covers primary care services in Los Angeles County. 

A student may opt out of the student health insurance plan by filling out an online waiver and providing proof of active health insurance at

If you would like to purchase the United Healthcare Student Health Insurance plan, please visit the waiver website at to opt in to the health insurance plan. Full details of the plan are below, but we want to specifically mention that this plan is a full-service PPO plan that works at all United Healthcare providers throughout the United States. The plan also covers medical costs incurred abroad through reimbursement.

By opting in to the health insurance (rather than waiting for automatic enrollment), you will be able to access and print your health insurance card within 10 business days of enrolling. If you do not manually opt in or waive, you will be automatically enrolled in the student health plan and the full amount will be billed to your student account.

About the Student Health Insurance Plan:
Occidental offers a student health insurance plan through United HealthCare Insurance that covers primary, urgent, emergent, pharmaceutical and behavioral health care locally, nationally and internationally. There are no breaks in coverage, so you will be covered while on winter and summer breaks. Full details on Oxy’s student health insurance plan through United HealthCare are available at Please be aware: The Oxy Student Health Insurance plan is a medical only plan; dental and vision benefits are only covered as a pediatric benefit. Once your student turns 19 years of age or older, they will no longer have dental or vision benefits under the plan.

Student Health Insurance Plan Summary
Cost: $2,854/year; $1,427/semester

Coverage Dates: 
Fall Semester: August 1, 2022 through December 31, 2022
Spring Semester: January 1, 2023 through July 31, 2023

Plan Details: PPO plan covers primary, preventive, pharmacy, mental health, inpatient, urgent and emergency care.

Wellness Center: Insured may utilize Emmons Wellness Center on campus for a $10 copay, $0 deductible and 100% coverage

National Coverage: Insured may utilize outside providers for a $25 copay, $150 deductible and 80% coverage

Thank you so much for your attention to the health forms and insurance waiver. Additional information can be found at, but if you are unable to find an answer to your questions, please contact us at and we will get back to you within two to three business days.

Also, the deadline to set up authorized users on your eBill account is this Sunday, July 10. Electronic Billing (eBills) is the official means of providing student account statements to all Oxy students; authorized users are the people you provide permission to view your account and pay your student account balance. Your eBill account is the place where you will receive online billing statements including charges for tuition, room and board and other payments. 

If you have any further questions or concerns, please let us know at or at (323) 259-2700

Oxy Admission