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)

Enrollment form for Intensive English Program Students and their dependents (PDF)

Temporary ID card (PDF)

Resources:

Aetna Student Health - Medical DocFind, Enrollment, Emergency Travel

Encore Health Network (Additional providers for those living in Monroe and Lawrence Counties)

Visiting Scholars, International Students and English Language students (IEP)
International Student Health Insurance 2008-2009

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, internet classes (with the exception of Nursing PhD candidates) 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.

• First Semester:  August 15, 2008 through December 31, 2008  
• Second Semester: January 1, 2009 through August 14, 2009

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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 September 15, 2008 for the Fall Semester and January 31, 2009 for the Spring Semester. 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.

• International Dependent Enrollment Form (PDF)
  

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Premiums

	Students	Spouse	Child(ren)
Annual	$932	$2,228	$1,692
Fall	$355	$849	$643
Spring/Summer	$577	$1,379	$1,049
Quarterly	$233	$557	$423
First Summer	$127	$305	$232
Second Summer	$174	$414	$315
Summer	$268	$640	$486

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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 not more than six months under the school's policy in effect. The deadline for the Fall Continuation is September 15, 2008. Contact the Student Health Plan Coordinator, 812-856-4650, for questions.

Continuation Plan Premium Rates (6 month maximum)

	Students	Spouse	Child(ren)
Monthly	$116	$276	$211

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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.