Usm Health Insurance Form Maine
2020 2021 health insurance information about usm.
Usm health insurance form maine. For questions about the student insurance coverage or completing waivers enrollments call gallagher student health at 833 882 3592. An annual health insurance charge of 2 264 will be billed to eligible students in the fall semester. Graduate assistants and international students at the university of maine and international students at the university of southern maine will be billed an annual health insurance charge of 2 347 in the fall semester. The coverage period is.
The university of maine system s seven campuses require proof of health insurance as a condition of enrollment for all students fitting the following criteria. All non international undergraduate students enrolled in 9 credit hours or more and graduate students enrolled in 6 credit hours or more are required to maintain adequate health insurance coverage. Verification of medical insurance form. University of southern maine a member of the university of maine system po box 9300 portland me 04104 1 800 800 4usm.
Student health insurance plan ship. This form must be completed by the insurance company providing coverage. Both forms must be completed and returned to the usm international programs office by tuesday september 22 2020. Moffitt health center is a multi service health care facility located on the hattiesburg campus of the university of southern mississippi.
University of southern maine a member of the university of maine system po box 9300 portland me 04104 1 800 800 4usm. An annual health insurance charge of 2 264 will be billed to eligible students in the fall semester. The privit profile icon below including all required medical eligibility forms and upload of both sides of your health insurance card must be completed by. Hipaa health insurance portability and.
You must use your maine edu email address as your email address in privit profile. This form is to verify that the student has the necessary levels of health insurance coverage. University of southern maine office of international programs international student accident and illness insurance 2019 2020 enrollment form student name date student id number please enroll me in the 2019 20 usm student accident and illness insurance available to. Graduate or law students taking 6 or more credit hours.
Undergraduate students taking 9 or more credit hours.