Ohio University

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:

*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.

2020 Enrollment Form 

*Enrollment forms can only be accepted via email at: studentinsurance@ohio.edu until further notice. 

 

Health Insurance Policy Materials for 2020/21

Policy Summary 2020/21

Full Policy Certificate of Coverage 2020/21

TeleHealth Information [PDF]

My Account Directions [PDF]

VSP Vision Insurance Summary [PDF]

 

Health Insurance Policy Materials for 2019/20

2019/20 Policy Certificate of Coverage [PDF]

2019/20 Policy Summary [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