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Kansas State University
¡¤ What is a waiver form?
The waiver form is verification that you have purchased alternative, qualifying health
insurance coverage. The form must be submitted before the waiver deadline each semester.
If the waiver is approved, the insurance charge will be removed from your account. The
alternative, qualifying coverage must be valid from the first day of classes and must end no
earlier than the last day
of classes for the semester.
¡¤ What are the requirements for an alternative health insurance?
A) Unlimited Maximum Benefit for Covered medical expenses
B) Coverage for essential benefits as defined under Patient Protection and Affordable Care
Act – including pharmacy, mental health, maternity, preventive care, contraception – with no
dollar limits, and coverage for pre-existing conditions
C) Includes Pediatric dental and vision coverage as defined by ACA
D) Policy year deductible of $500 or less. Maximum total out of pocket expense cannot
exceed $6,350 per member, $12,700 per family with preferred providers. Deductible,
coinsurance, and any copays count toward out-of-pocket maximum
E) Minimum of $10,000 for repatriation and $15,000 for medical evacuation
F) Minimum of 80% coinsurance payable by the insurance plan to network providers.
Emergency/urgent care coverage only is not accepted
G) Possess verifiable proof of coverage with student¡¯s name (ID card, insurance policy or
letter from insurance carrier ) and coverage plan document(s) in English, with currency
amounts converted to U.S. dollars, and an
insurance company contact phone # in the U.S.
H) Effective dates must cover the entire semester
I) Insurer has a base of operations in the US or has a US based claims
payer
¡¤
Where can I find the waiver form?
To access the Health Insurance Waiver form:
1. Go to https://isis.k-state.edu/psp/ISIS/?cmd=login
2. Enter your eID and password.
3. On the left-hand menu select Self Service.
4. Then click on Student Center.
5. Here you will see three sections: Academics, Finances and Personal
Information. The
waiver form is located in the drop down box in the Finances Section. Select the Insurance
Waiver form and then click the double arrow button.
6. Complete the waiver form entirely.
7. Click submit once you have finished.
¡¤
What happens after I submit the waiver
form?
The Insurance Coordinator will review your form and if approved, the insurance charge will
be removed within 5 business days. If your waiver is denied, you will receive notification of
the denial and the charge will remain on your account. If you do not see the adjustment of
the fee on your account or receive an email from the Insurance Coordinator, you should c
ontact
ininsure@ksu.edu prior to the waiver deadline.
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To access the Health Insurance Waiver form:
1.
Go to https://isis.k-state.edu/psp/ISIS/?cmd=login
Çб³ º¸Çè º¸Çè±â°£08/ 01 /2015
– 07/31 /2016
º¸Çè»ç |
UnitedHealthcare (Çб³º¸Çè) |
UnitedHealthcare (ÀúÈñº¸Çè) |
Student |
$1.407 |
$1,045 |
´ÙÀ½±Û | University of Pittsburgh | ||
---|---|---|---|
ÀÌÀü±Û | Boston University |