Mandatory plan waiver information

 

New The fall 2016 waiver period is now through September 5, 2016.
The fall 2016 enrollment period is now through September 26, 2016.

 


 

Students who are mandated to have coverage under the mandatory student health insurance plan may request to waive out of the mandatory plan if they have other acceptable health insurance coverage.

bullet To submit a waiver, go to http://studentcenter.uhcsr.com/univofga and select “Waiver Form.” Use your 9-digit student ID (81x) number and date of birth to access the Waiver form. Upon submission of the request, you will immediately see a confirmation page. Please print a copy of the confirmation page for proof of your waiver submission.

The review of your waiver request may take up to 10 business days to complete.  During this review period, you may be asked to submit proof of your insurance coverage such as letter from your insurance company verifying coverage and a copy of your insurance policy. Requested documentation must be in English. 

check mark See below for the minimum requirements for a waiver.

Important information regarding waiver requests:

  • In order to submit a waiver request or to get an insurance card, a student must be included on the school’s mandated student eligibility file that is sent to the insurance company. To be included on the eligibility file, you must be registered for classes for fall 2016, and if you have a graduate assistantship, you must be set up on payroll for fall semester.  If a personnel report has not been completed to set you up on payroll, please see the business manager in your department that handles personnel reports.  
  • Students wishing to opt-out of the mandatory plan for 2016 fall coverage because they have other health insurance coverage, must submit a waiver request during the waiver period.  For your waiver request to be considered, you must submit your request by the stated waiver period deadline each semester.
  • Waiver requests do not carry over from one semester to another. You are required to submit a waiver request each waiver period.
  • Once a student’s waiver is approved, if the student is charged the premium through student accounts, the charge will be removed within seven business days.

PLEASE NOTE:

  • An approved waiver for the mandatory student health insurance plan does NOT waive the Health Center fee that is part of a student's tuition and fees.
  • Waiving student fees through ATHENA does NOT waive the mandatory student health insurance plan.
  • Submitting insurance information to the Health Center as part of the admissions process does NOT qualify as a waiver request for the mandatory student health insurance plan.

2016-17 minimum waiver requirements

Students who are mandated to have health insurance coverage that wish to opt out of the mandatory student health insurance plan because they have other health insurance coverage must have coverage that meets certain minimum requirements. Following are the minimum requirements for other health insurance:

Minimum Requirements

Coverage must be in effect for the entire semester.

International Students in the F1 and J1 student statuses must have a minimum of the following benefits:

  • Both accident and sickness coverage
  • Minimum benefit of $250,000 per policy year **
  • A deductible of $500 or less and/or co-pay per individual, per year *
  • In-patient and outpatient, mental and nervous disorder benefits
  • Prescription drug coverage
  • Pay benefits worldwide
  • Medical evacuation to one’s home country and family reunification of not less than $50,000 *
  • Provision for repatriation of remains of not less than $25,000 *
  • All Georgia mandated requirements +
  • International students and scholars, and any accompanying spouse and dependent(s), may be subject to the requirements of the Affordable Care Act.

*Federal Standards required for International Students


Domestic Students must have a minimum of the following benefits:

  • Both accident and sickness coverage
  • Minimum benefit of $500,000 per policy year **
  • Coverage for all pre-existing conditions
  • Reasonable deductible ($3,000 or less) and/or copay per individual, per year
  • In-patient and outpatient, mental and nervous disorder benefits
  • Prescription Drug coverage
  • Pay benefits worldwide
  • All Georgia mandated requirements +

**To meet Federal Affordable Care Act (ACA) requirements your health plan should have no annual benefit Limits.  (These requirements are based on the federally mandated requirements of the ACA.)
 

+Georgia mandates coverage for the following benefits to be paid as any other Sickness:
Mammography, PAP Smears, Prostate Specific Antigen (PSA) Tests, Chlamydia Screening, Mastectomy, Bone Mass Measurement, Colorectal Cancer Screening, Dental Anesthesia, Diabetes, Surveillance Tests for Ovarian Cancer, Telemedicine, Drug Treatment of Children’s Cancer, Bone Marrow Transplants, Postpartum Care, and Mental Illness.

If your other health insurance coverage does not have the highly recommended coverages and you incur claims that your plan does not cover, you will not be able to enroll in the student health insurance plan until the next open enrollment period. At that time, you must meet the eligibility requirements for student health insurance in order to enroll in the plan.

If your waiver is denied:

If your waiver request is denied and you wish to submit an appeal, you must submit your waiver appeal to gshiplan@uga.edu within seven (7) business days from the date of denial.  Appeals must include supporting documentation regarding your other health insurance coverage.  You must submit a letter from your insurance company verifying coverage and a copy of your insurance policy that outlines your coverage.  Documentation must be in English.

Questions about student health insurance may be directed to gshiplan@uga.edu or 706-542-2222.

 

Revised 07.19.16