Health insurancewaiver application form ucr
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SHIP 2013 - 2014 Information
Undergraduate, graduate, professional, and international students have mandatory insurance plans that are automatically included in your student fees.
- Fall Quarter (June 1 - September 12)
- Winter Quarter (November 1 - December 12)
- Spring Quarter (February 1 - March 12).
Note: you only need to submit one insurance waiver form per year. Waivers submitted after the deadline will be charged a $50 late fee. No waivers will be accepted after March 31, 2014 for Winter Quarter.
If you have insurance and wish to be exempt from the UC SHIP Plan, you must complete and submit the online Waiver Form.
Policy Brochures
FAQ's
Here are common questions asked about the mandatory insurance program, be sure to read them before contacting the Student Health Services.
- What is SHIP?
SHIP is the abbreviated name for the "Student Health Insurance Plans"
- What is GSHIP?
GSHIP, the Graduate Student Health Insurance Plan, is the medical health insurance plan offered by UCR to all registered Graduate students. All UCR Graduate students are automatically enrolled in GSHIP when they pay their UCR registration fees each term. Students who are enrolled in an adequate private medical insurance plan may waive out of GSHIP.
- What is USHIP?
USHIP, the Undergraduate Student Health Insurance Plan, is the medical health insurance plan offered by UCR to all registered Undergraduate students. All UCR Undergraduate students are automatically enrolled in USHIP when they pay their UCR registration fees each term. Students who are enrolled in an adequate private medical insurance plan may waive out of USHIP.
- How can I enroll in the SHIP Plans?
GSHIP: Enrollment in GSHIP is exclusive to UCR graduate students who pay full registration fees. There is no enrollment process. Graduate students are automatically enrolled in GSHIP when they pay registration fees each term.
USHIP: Enrollment in USHIP is exclusive to UCR undergraduate students who pay full registration fees. Undergraduate students are automatically enrolled in USHIP when they pay registration fees each term.
- How can I enroll my eligible dependents in the SHIP Plans?
If you wish to enroll your eligible dependents, you must call Ascension at (800) 537-1777. This is the only method for enrolling your dependents in SHIP. Eligible dependents include:
- Your legal spouse (if you are not legally separated).
- Your domestic partner (requires a signed and notarized Affidavit of Domestic Partnership that must be submitted upon request)
- Your (or insured dependent domestic partners) unmarried natural, adopted children, or children placed with you pending adoption, to age 19 who are dependent on you for most of their financial support.
- You (or insured dependent domestic partners) unmarried natural, adopted children, or children placed with you pending adoption, to age 23, if they are full-time students at an accredited school and dependent on you for at least 50% of their financial support.
How much do the SHIP Plans Cost?
See the following rate schedules:
| GSHIP | Quarterly Rates | Dental and Vision |
|---|
| Graduate Student | $ 869.00 | Included in Premium |
|---|
| Adult Dependent (Spouse, domestic partner) | $ 1181.00 | $95.32 enroll through Wells Fargo
1-800-853-5899 |
|---|
| Child(ren): | $ 1012.00 | $73.44 enroll through Wells Fargo
1-800-853-5899
All voluntary enrollees in the medical plan, must enroll in the dental and vision plan or the medical coverage will terminate. |
|---|
| USHIP | Quarterly Rates | Dental and Vision |
|---|
| Undergraduate Student | $ 348.00 | Self Managed Plan included in premium |
|---|
| Adult Dependent (Spouse, domestic partner) | $ 1181.00 | no coverage |
|---|
| Child(ren): | $ 1012.00 | no coverage |
|---|
Mandatory SHIP (GSHIP and USHIP) terminates when your SHIP expiration date passes and fees have not been paid by the last day of the term.
More Information
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Student Health Services
Veitch Student Center
Tel: 951-827-3031
Fax: 951-827-3133
E-mail: health@ucr.edu
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DISCLAIMER: This information is accurate and reliable at time of posting, but may change without notice. Please contact the department for the most up-to-date information.
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