Medical Insurance 2013-2014
International students and scholars (F-1, J-1 or M-1 visa) who are temporarily located outside their home country and have not been granted permanent residency status while engaged in full-time educational activities through the College are required to be insured under the Santa Monica College Student Health Insurance Plan (the "Plan"). Waiver may be granted only to those individuals who are already insured under other government - or embassy - sponsored plans. Contact the International Student Office for details.
Covered Students must actively attend classes for at least the first 30 days of the period for which coverage is purchased, except in the case of medical withdrawal. Eligibility requirements must be met each time premium is paid to continue coverage. The Company maintains the right to investigate student status and attendance records to verify that the Policy eligibility requirements have been met. If it is discovered that the Policy eligibility requirements have not been met, the Company's only obligation is to refund premium less any claims paid.
Covered Students may also enroll their eligible Dependents in the plan. An eligible Dependent is the Covered Student’s: 1) Spouse residing with the Covered Student; and 2) the Covered Student's or Spouse's child until the date such child attains age 26.
For all newly acquired Dependents (Spouse and/or children), enrollment and full premium payment must be submitted within 31 days of the attainment of such dependents (proof of date of birth, adoption, or marriage may be requested). For questions about enrollment, contact Ascension at 1-800-537-1777 (Monday - Friday, 8:00 a.m. to 5:00 p.m. PT).
Eligible students are automatically enrolled in the Plan at registration. Waiver may be granted only to people already insured under government- or embassy- sponsored plans. Contact the International Student Office for details. For questions, please visit www.4studenthealth.com/smc or contact Ascension at 1-800-537-1777 (Monday - Friday, 8:00 a.m. to 5:00 p.m. PT).
A newly acquired dependent child will be covered under the Policy for the first 31 days after: 1) birth of a newly born child; or the earlier of: 2) the effective date of adoption of the child; or 3) the date of placement of the child for adoption. Coverage for such child will be for Sickness or Injury, including medically diagnosed congenital defects, birth abnormalities, prematurity and Medically Necessary nursery care. Benefits will be the same as any other Covered Person who is the child’s parent. Should the student’s coverage terminate before the end of the 31-day period, newborn coverage will not extend beyond the student’s termination date.
The Covered Student will have the right to continue such coverage for the child beyond 31 days. To continue the coverage the Covered Student must, within 31 days after the birth, adoption or placement for adoption: 1) apply to the Company in writing; and 2) pay the required additional premium for the continued coverage, if any. If the Covered Student does not use this right as stated here, all coverage as to that child will terminate at the end of the first 31 days after the child’s birth, adoption or placement for adoption.
Students who are enrolled in the Plan may also enroll their eligible Dependents by submitting an enrollment form along with required premium amount to the College or Administrative Agent by the Enrollment Deadline Date. Newly acquired Dependents (Spouse and/or children) are not subject to the Enrollment Deadline Dates. However, enrollment and full premium payment for all newly acquired Dependents (Spouse and/or children) must be submitted within 31 days of the attainment of such Dependents (proof of date of birth, adoption, or marriage may be requested). Otherwise, enrollment cannot be accepted after the Enrollment Deadline Dates listed.
Enrollment forms are available from the International Office, or from www.4studenthealth.com/smc. For questions about enrollment, contact Ascension at 1-800-537-1777 (Monday - Friday, 8:00 a.m. to 5:00 p.m. PT).
|Dates of Coverage
||08/25/13* to 02/12/14
||01/02/14 to 02/12/14
||02/12/14 to 8/25/14
||06/16/14 to 8/25/14|
|Dependent Enrollment Deadline Date
*06/25/13 for new students
The costs of coverage include insurance premium and administrative fees.
There is no continuation coverage for this Plan for students and/or Dependents who are no longer eligible.
The Company does not send termination or renewal notices for the Covered Person's enrollment in the Plan. It is the Covered Person's responsibility to renew coverage in a timely manner, subject to continuing eligibility. Eligibility requirements must be met each time premium is paid to continue coverage.
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