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Plan Brochure:

International Student Health Insurance Plan Brochure (PDF)

Forms:

IU Health Center Claim Form (PDF)

International Dependent Enrollment Form (PDF)

Enrollment form for Visiting Scholars and their dependents (PDF)

On-Call International Student Enrollment Form (PDF)

Spring/Summer Continuation form (PDF)

Temporary ID card (PDF)

Resources:

Aetna Student Health - Medical DocFind, Enrollment, Emergency Travel

Visiting Scholars, International Students and English Language students (IEP)
International Student Health Insurance 2009-2010

The plan is administered by Aetna Student Health. All information on rates, plan benefits, claim procedures and exclusions are stated in the International Student Health Insurance Plan brochure.

The information contained herein is intended to provide an overview of the Indiana University Student Health Insurance Plan. Students should not use this information in making decisions pertaining to health insurance coverage.

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Eligibility

Participation in the Student Health Insurance Plan is mandatory for Indiana University International Students, unless proof of comparable coverage is presented, and a waiver is filed by the waiver deadline. In the absence of a waiver, your portion of the insurance premium will be automatically assessed on your account with the Bursar. Visiting Scholars are eligible for this plan and should contact International Services for information regarding enrollment.

All International students taking credit hours, visiting scholars and all English language students are required to participate in this Insurance Plan unless proof of comparable coverage is furnished to the University. Students must be enrolled at Indiana University for at least the first 31 days after the date for which coverage is purchased. Home study, correspondence, and television courses do not fulfill the eligibility requirements. If and whenever Aetna Student Health discovers the eligibility requirements have not been met, its only obligation is refund of premium; less any claims paid.

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Coverage Period

Annual and Spring coverage periods include insurance coverage for the summer.

	Coverage Period
Annual	August 15, 2009 - August 14, 2010
Fall Semester	August 15, 2009 - December 31, 2009
Spring/Summer Semester	January 1, 2010 - August 14, 2010
Summer	May 1, 2010 - August 14, 2010
Summer semester I	May 1, 2010 - June 20, 2010
Summer semester II	June 7, 2010 - August 14, 2010

 

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Enrollment Deadlines for Dependents

Eligible students may also insure their dependents. Eligible dependents are the spouse/same-sex domestic partner (residing with the Insured student) and unmarried children under the age of 24. Dependent eligibility is effective and expires concurrently with that of the insured student. Enrollment applications for dependents must be received by Aetna Student Health no later than the dates in the chart below. If the deadline has passed, you may not enroll your dependents for coverage until the next coverage period, provided an application and appropriate premium have been received by Aetna Student Health prior to or on the established deadline.

	Dependent Enrollment Deadline
Annual	September 15, 2009
Fall Semester	September 15, 2009
Spring Semester	January 31, 2010
Summer	June 1, 2010
Summer semester I	May 15, 2010
Summer semester II	June 20, 2010

 

Dependent Enrollment Forms

• International Dependent Enrollment Form (PDF)
  

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Premiums

	Students*	Spouse	Child(ren)
Annual	$792	$1,894	$1,438
Fall	$302	$722	$547
Spring/Summer	$490	$1,172	$892
Quarterly**		$473	$360
Summer	$228	$544	$413
First Summer	$108	$259	$197
Second Summer	$148	$352	$268

*No Enrollment Form is required for the International Student Health Insurance Plan. Information on enrolling dependents can be found in the section above. International Scholars enrolling on the Plan during the Academic Year should see the Office for International Affairs for information on how to enroll.

**The Quarterly payment option is only available for those dependents enrolling at the beginning of the academic year for 2009-2010. The deadline to enroll in the quarterly payment option is September 15, 2009.

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Summary of Benefits Chart

Download a PDF of the chart (this chart is a part of the Plan brochure).

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Continuation

All Insured Persons who have been continuously insured under the school's regular student policy for at least 6 consecutive months and who no longer meet the Eligibility requirements under the Policy are eligible to continue coverage by purchasing an independent continuation plan directly from Aetna Student Health for a period of at least six months under the school's policy in effect. You may print the enrollment form from this page and mail it directly to Aetna Student Health.

Continuation Enrollment Deadlines
Fall	September 15, 2009
Spring/Summer	January 31, 2010
Continuation Premiums	Student	Spouse	Child(ren)
Monthly	$99	$235	$179

 

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Additional Questions?

Refer below for questions about enrollment, enrollment forms, plan booklets, coverage and claims.

Aetna Student Health
Telephone: 877-437-6512
Web: Plan website for Indiana University

IU Bloomington Campus Contact
812-856-4650
Poplars E165
Email:

IUPUI Campus Contact
812-856-4650
Education & Social Work Building, 2126
902 W. New York St.
Email:

 

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Benefit plan information on these web pages is in a summary format and is not intended to replace actual plan documents. Indiana University reserves the right to amend or terminate all or any part of any benefit plan.