After enrolling in the plan, the EV must submit a Health Insurance Provider Certification Form and the required attachments to FSIS. If none of the above plans suit the EV‘s needs, any other plan that meets the DOS‘s requirements may be purchased instead.
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The Harbour Group: International Student & Scholar Medical Insurance Plan or International PLUS Student & Scholar Medical Insurance Plan.Īfter enrolling in a plan, the EV must submit a signed Health Insurance Compliance Form to FSIS and attach an enrollment confirmation from the insurance provider showing their name, J-2 dependents’ names, the type of plan, and the dates of coverage.Compass Benefits Group: Compass Care, Elite, Benchmark, or Benchmark Plus.International Student Organization: COMPASS Silver or Gold, ACA Conformity, J1 Exchange Plans, or Voyager.The EV and J-2 dependent need to carefully review each plan to select one that meets both their needs as well as the DOS requirements. FSIS does not endorse or recommend any specific plan. Below is a list of pre-screened plans that appear to meet the DOS requirements. Department of State’s (DOS’s) minimum requirements. If an exchange visitor (EV) or J-2 dependent decides not to enroll in the UH student plan, they must choose a health insurance plan that provides the minimum coverage meeting the U.S. FSIS will confirm enrollment directly with the UH Student Health Insurance Coordinator. Submit evidence of health insurance to FSISĪfter enrolling in the UH student plan, the EV must submit a completed and signed Health Insurance Compliance Form to FSIS, checking off the “ UH Student Health Insurance Plan” box in Section A on page 2 of the form. The EV needs to keep copies of the Notice of Decision, the completed application form, beneficiary form, HIPAA Authorization for Release of Information form, and proof of payment for their personal records.Select “Non-Student” as the classification on the application form.Select an option that includes repatriation coverage, and.
The EV must complete the HMSA student health plan application, beneficiary form, and HIPAA Authorization for Release of Information form, and return the completed and signed forms to the Student Health Insurance Coordinator. If the request is approved, the Student Health Insurance Coordinator will issue the enrollment forms.The UH Student Health Insurance Coordinator will issue the EV a Notice of Decision.Use UH FileDrop to submit the eligibility form and the supporting documents to the UH Student Health Insurance Coordinator.Invitation letter stating program dates from the UH department.Copies of the EV‘s and J-2s’ Form DS-2019s, and.Complete a Request for Non-Student Eligibility Form and attach these documents:.
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How to apply for the UH student planĪt least two weeks before the coverage start date, the EV must complete these procedures: Information about the medical insurance benefits, premiums, and the application form are available on HMSA‘s student health plan website.
If they are enrolling after the semester starts or will complete the program before the semester ends, upon notification, HMSA will mail the EV a refund check for the overpaid portion.
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