Mandatory Student Health Insurance Plan Joanna Manzi UGA Human Resources
Today’s Discussion Where to find information Enrollment and Waivers Premium payments Contact Information
UGA Mandatory Student Health Insurance Plan Information found at: Select Students, then Mandatory Plan Plan Information Deadlines Premiums Enrollment or waiver procedures Contact Information
Mandated Student Insurance Eligibility File Student’s information must be included on insurance eligibility file in order to access Enrollment form or Waiver form The following are required for inclusion on eligibility file: –Registered for classes for Fall 2016 –Graduate assistants set up in payroll for fall semester –Must have U.S. based mailing address on file with UGA –Must have a UGA address –Must report your gender to UGA – required by insurance
Enrollment Automatic Enrollment Process –Occurs late September for fall coverage –Occurs late February for spring/summer coverage Complete the Enrollment Form to activate coverage sooner! –Enrollment form link available at Select Mandatory Plan, see Enroll section –To access form, enter date of birth and student ID (81x#)
Dependent Enrollment Can purchase coverage for eligible dependents –legal spouse –dependent children under 26 years of age Complete Enrollment Form to activate student coverage first Enroll dependents directly with United Healthcare –Link on Enrollment Form confirmation page Pay dependent premiums directly to UHCSR
UHCSR Account Go Green! Print your insurance card View Explanation of Benefits (EOBs) Provide injury details Provide other insurance coverage information Print Certificate of Creditable coverage when coverage ends Print tax document for income tax filing
Coverage Periods Fall 2016 Coverage effective August 1, 2016 – December 31, 2016 Spring/Summer 2017 Coverage effective January 1, 2017 – July 31, 2017 Enrollment is by coverage period (not month-by-month) Cannot cancel coverage early
Waiver Requests Do you want to opt-out of the mandatory plan? Other coverage must meet certain minimum requirements Submit a waiver request each waiver period Fall waivers apply to the period of 8/1 – 12/31 Spring/Summer waivers apply to the period of 1/1 – 7/31 Visit (select Students, then Mandatory Plan Waiver) Waiver requests must be submitted by the September 5, 2016 deadline – no exceptions!
Waiver Request – Random Audit Waiver requests may be randomly audited during the semester. –You will be contacted via your UGA –Must provide requested documentation about other health insurance. Documentation must be in English. –Charges for mandatory plan may be assessed if requested information is not provided.
How Do I Pay Premiums? Student Account Charge –Undergraduate international students –Graduate international students who do not have a graduate assistantship –Doctor of Pharmacy students Payroll Deductions –Graduate students with a qualified graduate assistantship, fellowship or training grant Fellowship or training grant must be paid through UGA payroll to be eligible
Premiums for : Student Account Charge on Student Account International undergraduate students with a J or F visa type; International graduate students (J or F visa type) without a graduate assistantship; Doctor of Pharmacy students Fall 2016Spring/Summer 2017 $870 $1,206 *Approved waivers: Insurance charge removed from UGA Student Account within seven (7) business days from date of waiver approval.
Premiums for : Payroll Deductions and UGA Premium Contribution Payroll Deductions Graduate students with qualified graduate assistantships Graduate students with qualified fellowship or training grant (paid through UGA payroll ) Eligible for UGA premium contribution Total Student Contribution Fall 2016Spring/Summer 2017 $522.00$ Total UGA Contribution Fall 2016Spring/Summer 2017 $348.00$482.40
Premiums for : Payroll Deductions and UGA Premium Contribution Deductions taken from three paychecks each semester Fall coverage: September, October & November paychecks Spring/Summer coverage: February, March & April paychecks Deduction Amount per paycheck (3 payroll deductions) Fall 2016Spring/Summer 2017 $174.00/paycheck$241.20/paycheck
Student Health Insurance Plan Highlights Care outside of the Health Center (UHC) Must have a referral from the Health Center. Referral Exceptions: Medical emergency (follow-up treatment requires UHC referral) Health Center is closed Treatment received more than 30 miles from campus Maternity, obstetrical and gynecological care Individual not eligible to use Health Center Use a Preferred Provider for services outside of the Health Center Search using the United Healthcare website at United Healthcare customer service at
Student Health Insurance Plan Highlights Worldwide coverage Global Emergency Services – eligible to receive services worldwide, except in home country. Services must be arranged by United Healthcare Global to be considered for payment. Repatriation and medical evacuation benefits Healthiest You – national telehealth service
Student Health Contact Information Questions concerning eligibility, premium payments – contact UGA Human Resources at: Questions concerning plan benefits and claims– contact United Healthcare Student Resources customer service at: *Interpreter services are available if requested Via at
Optional Vision Insurance Plan Annual coverage only coverage from August 1, 2016 – July 31, 2017 Enrollment deadline - September 15, 2016 Vision Clinic at UGA Health Center is a participating provider
Optional Vision Insurance Plan Premiums Student only$ Student + spouse$ Student + child(ren)$ Student + family$ Premiums paid in full to United Healthcare Student Resources at the time of enrollment.
Optional Vision Insurance Plan Enroll using voluntary enrollment site, Enroll Online Now! Do not purchase health insurance through this site.
Final Reminders Where do I find information online about student health insurance or student vision insurance? (select Students from the menu bar) What UGA department do I contact for information regarding student health insurance or student vision insurance? Human Resources or
Final Reminders Do I need to complete a form to enroll or to waive coverage under the mandatory student health plan? Yes! Complete the online Enrollment or Waiver Form. Access forms through the HR website at (select Students, then Mandatory Plan) What is the deadline to submit a waiver request for fall? September 5, 2016
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