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Bowling Green State University

Medical Plan Enrollment

Enrollment Process for Part-Time Students (5,6 or 7 credit hours)

Enrollment Process for Optional Coverage for Voluntary Termination of Pregnancy

Who May Voluntarily Apply for Coverage Under This Plan
Students taking 5, 6 or 7 credit hours are eligible to participate in this plan on a voluntary basis. Students must be enrolled in a degree seeking program and actively attend classes during the period for which coverage is purchased. Students may also voluntarily enroll their eligible spouses and dependent children.

An application for enrollment must be submitted each academic year by the published enrollment deadlines.

View Plan Details

  Annual
8/1/10 - 7/31/11
Spring/Summer
1/1/11 - 7/31/11
Student Premium:
Deductible:
Copay:
$1,260
$200 per Policy Year
$20*
$735
$200 per Policy Year
$20*
Add Spouse Premium:
Deductible:
Copay:
$2,826
$200 per Policy Year
$20*
$1,649
$200 per Policy Year
$20*
Add Child(ren) Premium:
Deductible:
Copay:
$1,505
$200 per Policy Year
$20*
$878
$200 per Policy Year
$20*
Enroll Here: Student Health Plan and/or Optional Coverage

The rates above include both premium for the student health plan administered by Aetna Life Insurance Company as well as a Bowling Green State University administrative fee

* Student Health Center visits do not apply

Waiver

Who at BGSU Must Obtain Insurance or Provide Proof of Comparable Coverage?

All Domestic Students taking 8 or more credit hours on the main campus and all international students regardless of credit hours are required to have health insurance coverage. The requirement does not apply to domestic students exclusively at BGSU Firelands or distance-learning students.

All students who wish to waive the Bowling Green State University's Student Insurance Plan can complete an Online Waiver Form.Details for completing the waiver form can be found by visiting their website.

A waiver must be submitted each academic year by the published enrollment deadlines.

www.bgsu.edu/studentinsurance

I have carefully read the brochure and elect to enroll as indicated. Rates are not prorated other than as listed. I authorize the university to provide Aetna Student Health with my enrollment status to validate eligibility under the Plan. I warrant that the information I have provided in this application is true and accurate. If it is later determined that I have provided inaccurate information, my coverage and the coverage of my dependent(s) may be voided. I understand that premium will be refunded in the event that I am later determined to be an ineligible student. In such an event, I agree that my return premium may be reduced by the amount of any paid claims. Premium is not refundable for any reason other than a determination of ineligibility.

Enrollment Guidelines: Please refer to your school insurance plan brochure for your enrollment effective date. Applications will not be accepted after the enrollment deadline.

The college/university plan may not cover all your health care expenses. The plan excludes coverage for certain services and contains limitations on the amounts it will pay. Please read the plan brochure carefully before deciding whether this plan is right for you. Also, while the plan brochure tells you about some of the important features of the plan, other features may be important to you and some further limit what the plan will pay. If you want to look at the full plan description, which is contained in the Master Policy issued to the college/university, you may contact us at 877-373-0737. Many plans contain annual and/or per condition maximums. Some illnesses may cost more to treat than what the plan will pay and health care providers may bill you for what the plan does not cover.

Aetna Student Health reserves the right to review, at any time, your eligibility to enroll in this plan. If it is determined that you did not meet the school's eligibility requirements for enrollment, your participation in the plan may be rescinded in accordance with its terms.

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