Seton Hall University
STUDENT HEALTH INSURANCE PLAN

2024-2025 Academic Year

Health Insurance Requirement

In keeping with its institutional responsibility to protect the health and well-being of the students, as well as meeting the requirements under New Jersey state law, Seton Hall University requires the following students to carry health insurance. Required students are automatically enrolled in the university sponsored student health insurance plan and charged for the insurance premium. Online only students are not eligible for the insurance. Students are responsible for submitting a health insurance waiver online if they do not want/need the student health insurance plan.

The following students are required to have health insurance that meets University requirements:

• Undergraduate students enrolled in twelve (12) or more credits
• Graduate students enrolled in nine (9) or more credits
• Law students enrolled in nine (9) or more credits
• All International students, regardless of credits

Undergraduate Insurance Cost & Coverage Periods

	Annual Students	NEW Spring Students
Coverage Dates	8/15/2024-8/14/2025	1/14/2025-8/14/2025
Undergraduate Cost	$2,332	$1,369
Waiver Deadline Date	September 5, 2024	February 3, 2025

Graduate & Law Insurance Cost & Coverage Periods

	Annual Students	NEW Spring Students
Coverage Dates	8/15/2024-8/14/2025	1/14/2025-8/14/2025
Graduate & Law Cost	$4,559	$2,668
Waiver Deadline Date	September 5, 2024	February 3, 2025

 

Seton Hall University has partnered with University Health Plans to administer the plan and help with waiver, enrollment, or benefit-related questions. University Health Plans can be reached at 833-336-2121 or info@univhealthplans.com.

Plan Highlights

The Student Health Insurance Plan will continue to be provided by UnitedHealthcare. The plan complies with the Affordable Care Act benefit requirements and includes access to UnitedHealthcare Choice Plus Network. Students do not have to select a primary care physician and referrals are not required. You can view the Plan Design and Benefit Summary located under Benefit Information in the left-hand side navigation menu.

Waiver Process

Full-time students who wish to waive (opt-out) the Health Insurance:

• If you wish to waive the Student Health Insurance Plan your insurance plan must provide access to doctors, specialists, hospitals, labs/imaging, pharmacies, and mental health/behavioral health providers in the Seton Hall University campus area without restriction or limitation for both non-emergent and emergency coverage. Please note, if you are enrolled in an out-of-state Medicaid, HMO, or EPO your coverage may not be sufficient. Many out-of-state plans do not provide comprehensive benefits outside of the home service area, and urgent or emergency-only coverage is not sufficient and does not meet the waiver requirements. 
• The policy must be a US-filed and approved, ACA (Affordable Care Act) compliant health insurance plan and provide coverage for all Essential Health Benefits defined by the ACA. International insurance plans, travel insurance, and short-term limited-duration plans are not accepted. 
• If your plan meets all of the above requirements then you may waive by clicking on Waiver Form in the left-hand side navigation menu. 
• Copies of your insurance card submitted to the Office of Student Services or any other Seton Hall University office (i.e. Seton Hall Health Services, Athletics Department, etc.) do not constitute a waiver and are not acceptable.
• Students who do not complete a waiver by the deadline date will be automatically enrolled in the plan for the full academic year and will be responsible for the full cost. The waiver form must be completed each academic year. Late waivers will not be accepted.

Enrollment Process

Students who plan to enroll in the Health Insurance:

• Students are encouraged to enroll in the student health insurance plan as soon as possible, so they may have access to coverage when the plan year begins. You may enroll by clicking on Enrollment Form in the left-hand side navigation menu. 
• If you confirm enrollment in the health insurance plan, you are financially responsible for the full amount of the health insurance premium for the duration of the policy effective dates.

Please note: Online only, undergraduates in less than 12 credits, graduates in less than 9 credits, Pirate Pathway and non-matriculating students are not eligible to enroll.

International Students

International students are automatically enrolled and charged for the Seton Hall University Student Health Insurance Plan prior to the waiver deadline date. If an international student has a plan that is filed and approved in the United States and ACA compliant, typically, approved plans are offered through a US employer or Embassy, then the student may complete the online waiver form and submit proof of coverage. Proof of coverage will be reviewed for waiver eligibility.

Please note, health insurance plans marketed solely to international students are often not filed and approved in the U.S., have limited benefits, provider networks and/or coverage periods that do not comply with the Seton Hall insurance requirements. GBG Insurance, HDL Global Specialty, ISO, PGH (United), PSI, Student Medicover, and Tata AIG are examples of companies that do not meet the waiver requirements.

Important Notes

Seton Hall University reserves the right to audit all waivers in order to ensure compliance with the university insurance requirements. Please be sure to have a copy of your insurance policy as you may be asked to provide documentation.

Important Notice to Athletes: The Student Health Insurance Waiver process is NOT the same as providing an insurance card or information to the Athletics Department or the athletic trainers as part of the medical information required for participation in the student’s sport.

Disclaimer: If you withdraw from all/some courses on/or after the add/drop period, it does not remove the health insurance premium. You will remain enrolled in the health insurance plan for the duration of the effective date. You will also be financially responsible for the full cost of the health insurance premium unless you have an approved waiver on file by the deadline date.

Qualifying Event

Students who waive the insurance in the fall may not enroll in the spring semester. Students who waive are eligible to enroll if there is a Qualifying Life Event which causes them to lose other insurance. Please contact University Health Plans to enroll within 31 days of the qualifying life event.  

 

Questions? Need Help Deciding?

If you have any questions call University Health Plans at 833-336-2121.