Ohio University

Enrollment Forms and Policy Brochures

 

Students and dependents voluntarily enrolling in the Student Health Insurance must submit a completed enrollment form prior to the posted Open Enrollment Deadline each semester. (Fall & Spring=1 year)

Voluntary enrollment does not automatically continue from the previous semester.

 

Students must be registered for at least (1) Spring Semester credit hour through any OU campus to be eligible to enroll. 

 

Open Enrollment: New Spring 2020

Open Enrollment Period: 12/1/2019-1/31/2020

Effective Dates of Coverage: 1/1/2020-8/15/2020 (7.5 months of coverage)

Premium: $1757.00 per person; $3514.00 for 2 or more children

This enrollment period is for students and dependents that were NOT enrolled in the Fall 2019 coverage period.

Please Note: The Student Health Insurance office will be closed 12/18/2019 through 1/6/2020 for the University Winter Closure and Holiday Break. Students enrolling in the New Spring coverage period (1/1/20-8/15/20) are encouraged to submit their enrollment forms beginning 12/1/19 and return them prior to 12/15/19 for processing. This will enable students to have access to their health insurance ID cards at the beginning of the coverage period.

Enrollment forms received after 12/15/2019 will be processed in the order they were received beginning 1/6/2020.

All enrollment forms for the New Spring coverage period that are received prior to the Open Enrollment Deadline of 1/31/2020 will have coverage backdated to be effective as of 1/1/2020 once the insurance company processes the enrollment.

 

Open Enrollment: Continuing Spring 2020

Open Enrollment Period: 1/1/2020 through 1/31/2020

Effective Dates of Coverage: 2/15/2020-8/15/2020 (6 months of coverage)

Premium: $1410.00 per person; $2820.00 for 2 or more children

This enrollment period is for students and dependents that were previously enrolled in the Fall 2019 coverage period.

Please Note: The Student Health Insurance office will be closed 12/18/2019 through 1/6/2020 for the University Winter Closure and Holiday Break. Enrollment forms received after 12/15/2019 will be processed in the order they were received beginning 1/6/2020.
 

 

Enrollment Form Submission:

  • Email: studentinsurance@ohio.edu
  • Fax: 740.593.0699
  • Mail: Student Health Insurance Administrator, 2 Health Center Drive, Athens, OH, 45701
  • Athens Campus Drop Off: 227 Hudson; Place under door if office is closed

 

Health Insurance Enrollment Form

2019/20 Enrollment Form for Students and Dependents [PDF]

 

Health Insurance Policy Materials

2019/20 Policy Certificate of Coverage [PDF]

2019/20 Policy Summary [PDF]

VSP Vision Insurance Summary [PDF]