Insurance Policy Waiver/ Decision Form
Dear UVM Student:
Health Insurance is mandatory at the University of Vermont.
Each year you need to complete a form to either:
University of
Vermont Policy for Mandatory Health
Insurance:
All undergraduate, Continuing Education and Certificate students
enrolled in at least 9 credit hours, graduate students enrolled in 12
or more credits, or Henderson Pre-doctoral Fellows
are required to have health insurance that provides equal or better
coverage than the University of Vermont Student Insurance
Plan. The UVM per semester Health Fee which covers on campus
services is a prerequisite to purchasing the Student Health Insurance.
This service along with the Student Health Insurance, provide a
comprehensive health care plan.
All full and part-time international and exchange students are required to pay the UVM Health Fee and maintain adequate health insurance coverage. This requirement ensures the student’s access to adequate health care and protects against potential financial liabilities, which might cut short educational plans and create financial hardship in the future.
Undergraduate, Continuing Education and Certificate students taking from 6 to 8 credits and all other students, including graduate students, taking from 6 to 11 credit hours are eligible, but not required, to purchase the Student Health Insurance Plan and pay the prerequisite per semester Student Health Fee. Graduate students desiring coverage, but enrolled in fewer that 6 credits should contact the Graduate College for further information.
The Health Fee, which is part of the comprehensive fee, billed to 9 credit hours for undergraduate, Continuing Education and Certificate students and for graduate students with 12 or more credit hours, supports access to appointments at NO additional charge in the: Student Health Medical Clinic, Women’s Health Clinic and Counseling Center as well as services from the Office of Conflict Resolution, Alcohol and Drug Services, Mindfulness Meditation, Nutrition Counseling, Health Promotion, and Athletic Training for Varsity Athletes.
Henderson Pre-doctoral Fellowship Policy for Mandatory Health Insurance: UVM is very committed to supporting the Henderson Pre-doctoral Fellows and as a result we require that they have health insurance. Although not technically a graduate student at UVM, Henderson Pre-doctoral Fellows are mandated either to sign up for the same health benefits as the UVM Graduate Students or need to provide proof of insurance coverage from their home institutions.
Insurance
Decision Waiver Process
Because insurance is mandatory, you must fill out an insurance
decision/waiver form online that either:
This waiver has to be done on a yearly basis regardless of your
insurance decision. Students who do not fill out a waiver by the
deadline will be billed, the insurance premium will be added to their
student account, and have a hold placed on registration.
We have an on-line
waiver process for all students, except
international students, that will help you meet your insurance
requirements.
International Students: Please Note:
You will not be able to use the on-line waiver process.
Insurance and the health fee is mandatory for all international
students and you will automatically be billed. If you have any
questions about this requirement, please contact the insurance office
at 802-656-0602.
Instructions for all other students
• You must complete the Insurance
Policy Waiver/Decision Form online to make
your insurance selection by the deadline. Insurance decision/waiver
forms will not be accepted after September 30, 2007 for the Fall
semester and February 15, 2008 for the Spring semester.
• If you elect to waive you are legally responsible for any
medical expenses incurred during your enrollment at the University. The
University and its medical insurance program will not be responsible
for any of your medical expenses.
• The University of Vermont and Chickering Claims
Administrators Inc. reserve the right to verify insurance information.
If your plan does not provide comparable coverage to the Student
Insurance Plan, or you are uninsured, you will automatically be billed
and enrolled into the Student Health Insurance Plan and have a hold
placed on registration.
• Please be sure that your plan meets the following criteria
before filling out the waiver.
Some Important Facts to Consider...
Please consider these facts about Health Insurance for
college students. Yes or No?
1. Will you reach your age limit on your parent’s policy this
year?
2. Does your insurance cover you in the Burlington, VT area and the
Center for Health and Wellbeing on UVM campus for non-emergency care?
3. Will your insurance cover you, if you are traveling abroad?
4. Does your insurance cover prescription drugs in the Burlington,
Vermont area?
5. Does your plan have at least $50,000 in coverage?
Students who are taking at least six credits hours (Graduate students
included) are eligible, but not required, to purchase the Student
Health Insurance Plan or pay the prerequisite student health fee. A
brochure is available on-line at the Chickering-UVM
Customized Student Insurance Web Page for you
to look at or print out (select the "Policy Info" link to access the
plan brochure). The following is a summary of benefits to help you make
your decision about purchasing the policy.
Benefit
Structure of the Student Health Insurance Plan
Why Purchase A Student Health Insurance Plan?
Supplemental
Medical Coverage
The aggregate maximum benefit under the Student Health
Insurance Plan described above is $50,000. If you purchase the Basic
Student Health Insurance Plan at the University of Vermont, you are
eligible to purchase the Supplemental Plan of $200,000 at a small
additional premium. This would extend the combined maximum to $250,000.
You should give serious consideration to purchasing this enhanced
supplemental coverage.
Supplemental Plan Enrollment Forms and pricing are available by contacting the Chickering Group at 1-800-286-1144 or on-line at the Chickering Group Web site to view the supplemental Enrollment form (select "Policy Info" to access the Supplemental Application form). Print and complete the Supplemental Form and Mail it to the Chickering Group along with your payment.
Spouse/Dependents/Same
Sex Spousal Equivalents
You must enroll with Chickering directly by calling Chickering at
1-800-286-1144 or on-line at the Chickering
Group Web site (the policy brochure and
Dependent Application form is available by clicking "Policy Info").
• Read the Health Insurance Brochure
• Click on Dependent Enrollment Form, print and complete the
form and send it along with payment to The Chickering Group.
|
|
Annual |
Fall Semester Only |
Spring Semester Only |
|
Student: |
$1,896.00 |
$790.00 |
$1,106.00 |
|
Spouse: |
TBA |
TBA |
TBA |
|
Child(ren): |
TBA |
TBA |
TBA |
If you choose to waive the University’s insurance,
keep in mind that there may be services provided (e.g. lab tests,
x-rays, referrals etc.) that might not be covered by your insurance
company. You will be responsible for paying such charges. It is your
responsibility to learn about your health insurance so you know what is
covered.
Please note: Before using the on-line waiver decision form students
will need to have their Student ID# and insurance information. New
students can begin this process after they have registered for
classes. Not sure what your Student ID#
is? It's the 9-digit number you use to register for courses.
If you are satisfied and meet the criteria of the above policy you are
now ready to complete the on-line Insurance
Policy Waiver/Decision Form.
For additional information on Health Fees and Insurance, please call Margaret Johnson at (802) 656-0602
