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SMC|Enrollment Development|International Education Center|Eligibility

Eligibility

Medical Insurance 2012-2013

Insurance Eligibility


Students
International students, visiting faculty, scholars (F-1, J-1 or M-1 visa) temporarily located outside their home country, who have not been granted permanent residency status while engaged in full-time educational activities through the College, are required to be insured under the policy. Waiver may only be granted to people already insured under other government- or embassy-sponsored plans. Contact the International Student Office for details.

Covered Persons must have paid the required premium and their name, student number and date of birth must
have been included in the declaration made by the College or the Administrative Agent to the Insurer. Covered Students must actively attend classes for at least the first 31 days of the period for which coverage is purchased, except in the case of medical withdrawal. 

In addition, students engaged in Practical Training (OPT)
through the college are required to enroll in the plan for the length of their OPT term, if they were insured in the
college-sponsored International Student Insurance Plan in the immediately preceding term.

OPT students must submit to Ascension Benefits & Insurance Solutions the following:
  1. An enrollment form and payment (by mail) within 30 days of the termination date of the immediatelypreceding term; and
  2. Proof of Practical Training (either a copy of their Employment Authorization Card or an official letterfrom the College stating their OPT dates).
Please note, because students engaged in OPT are not eligible to use Student Health Services, the Deductible
cannot be waived under any circumstances. 

For questions, please contact Ascension at 1-800-537-1777. 

The Company maintains the right to investigate student status and attendance records to verify that the Policy eligibility requirements have been and continue to be met. If and whenever the Company discovers that the Policy eligibility requirements have not been met or are not being met, its only obligation is refund of premium less any claims paid.

Dependents
Covered students may also enroll their eligible dependents in the plan. An eligible dependent is the Covered Student’s: 1) spouse residing with the Covered Student; or 2) unmarried children under the age of 26 years. 

Eligible dependents must be enrolled by the Deadline Date or within 31 days of birth, adoption, marriage, or arrival in the U.S. or termination of other coverage. Coverage for eligible dependents will not be effective prior to that of the Covered Student or extend beyond that of the Covered Student.

A newly acquired dependent child will be covered under the Policy for the first 31 days after: 1) birth of a newly born child; or the earlier of: 2) the effective date of adoption of the child; or 3) the date of placement of the child for adoption. Coverage for such child will be for Sickness or Injury, including medically diagnosed congenital defects, birth abnormalities, prematurity and Medically Necessary nursery care. Benefits will be the same as any other Covered Person who is the child’s parent. Should the student’s coverage terminate before the end of the 31-day period, newborn coverage will not extend beyond the student’s termination date.

The Covered Student will have the right to continue such coverage for the child beyond 31 days. To continue the coverage the Covered Student must, within 31 days after the birth, adoption or placement for adoption: 1) apply to the Company in writing; and 2) pay the required additional premium for the continued coverage, if any. If the Covered Student does not use this right as stated here, all coverage as to that child will terminate at the end of the first 31 days after the child’s birth, adoption or placement for adoption.

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