Enrollment Forms and Policy Brochures
Open Enrollment for the Fall 2020 coverage period is currently available through 9/11/2020.
Students and dependents voluntarily enrolling in the Student Health Insurance must submit a completed enrollment form prior to the Open Enrollment Deadline each semester. (Fall & Continuing Spring=1 year)
Voluntary enrollment does not automatically continue from the previous semester.
Open Enrollment Period: 8/1/2020 - 9/11/2020
Effective Dates of Coverage: 8/16/2020-2/14/2021 (6 months of coverage)
Premium: $1410.00 per person; $2820.00 for 2 or more children
Enrollment forms are currently being processed for the Fall coverage period ONLY.
Enrollment forms received prior to the Open Enrollment Deadline of 9/11/2020 will have coverage backdated to be effective as of 8/16/2020.
Enrollment Form Submission:
- Email: studentinsurance@ohio.edu
*Due to the COVID-19 pandemic the Student Health Insurance campus office will remain closed, and staff will be working remotely until further notice.
*Enrollment forms can only be accepted via email to: studentinsurance@ohio.edu until further notice.
Health Insurance Enrollment Form for 2020/21
Voluntary enrollment requires an enrollment form to be completed for only 1 coverage period at a time. Please complete the enrollment form for the Fall 2020 coverage period ONLY.
Students will have an opportunity to purchase a Spring 2021 coverage period during Open Enrollment for Spring beginning 12/1/2020.
*Enrollment forms can only be accepted via email at: studentinsurance@ohio.edu until further notice.
Health Insurance Policy Materials for 2020/21
Full Policy Certificate of Coverage 2020/21
VSP Vision Insurance Summary [PDF]
Health Insurance Policy Materials for 2019/20
2019/20 Policy Certificate of Coverage [PDF]
Health Insurance Policy Changes for 2020/21
There are no changes to the payable benefits in the new plan year, however, there are a few changes to the plan design as shown below:
ANNUAL DEDUCTIBLES |
2019/20 |
2020/21 |
|
|
Individual In-Network |
$150 |
$500 |
|
|
Family In-Network |
$300 |
$1,000 |
|
|
Individual Out-of-Network |
$300 |
$5,000 |
|
|
Family Out-of-Network |
$600 |
$10,000 |
|
|
|
|||
OUT OF POCKET MAXIMUMS |
2019/20 |
2020/21 |
|
|
Individual In-Network |
$1,500 |
$5,000 |
|
|
Family In-Network |
$3,000 |
$10,000 |
|
|
Individual Out-of-Network |
$3,000 |
$10,000 |
|
|
Family Out-of-Network |
$6,000 |
$15,000 |
|