Fitchburg State University
STUDENT HEALTH INSURANCE PLAN
2012-2013 Policy Year
In accordance with Massachusetts State Law, Fitchburg State University requires all undergraduate students registered in at least 9 credits and all graduate students registered in at least 7 credits to participate in the Student Health Insurance Plan unless proof of comparable coverage is provided. International students with a J-1 VISA are required to enroll in the Student Health Insurance Plan.
Students with coverage from insurance carriers outside the United States or coverage by foreign National Health Insurance programs may not waive participation in the university’s plan. These plans are not deemed to be comparable to coverage under a QSHIP program. This is a change in the QSHIP regulations that has been mandated by the Division of Health Care Finance and Policy and all institutions are required to comply with this change.
Students must either:
- Complete the On-Line Enrollment Form.
- Complete the On-Line Waiver Form.
Students who fail to complete the on-line enrollment or waiver form by the deadline date of August 13, 2012 will have a hold placed on their student account and will not be able to continue academic advancement until they complete an on-line enrollment or waiver form. As provided by Massachusetts State Law, completion of the on-line enrollment or waiver form is required annually.
Health Safety Net is not considered comparable coverage.
|Plan Costs||Spring Coverage 8/1/12 – 7/31/13|
In order to waive coverage, be sure that services covered by your current health insurance plan are reasonably accessible in the Fitchburg area:
- Lab tests and x-rays
- Prescription drugs
- Outpatient hospital services
- Mental health care
- Emergency room care
- Hospitalization (including room and board, physician’s fees, and surgical expenses)
To complete the Enrollment Form or Waiver Form, select appropriately from the MENU options to the left. When you have completed and successfully submitted the form, you will immediately receive a notice indicating the completion of the form. Please print this notice for your records. If you provide an email address of your form you will also receive an email confirmation.