University of Medicine & Dentistry of New Jersey

STUDENT HEALTH INSURANCE PLAN
Dependents Payment Policy
2009-2010 Academic Year

 

Voluntary Student Enrollment and Dependent Enrollment Deadlines:

Fall Term Enrollment: August 15, 2009
Winter Term Enrollment: January 15, 2010
Spring Term Enrollment: March 15, 2010
Summer Term Enrollment: June 15, 2010

Payment Instructions: Please mail completed form and premium to: University Health Plans, One Batterymarch Park, Quincy, MA 02169-7456. Coverage will become effective on the date the completed application and premium are received at University Health Plans. Please note Credit Card payments are not accepted. Payment should be made in the form of a Personal Check, US Bank Check or US Money Order payable to University Health Plans.

NOTE: Annual coverage for dependents may be paid on a Quarterly Basis (Fall, Winter, Spring and Summer). A reminder notice will be issued by University Health Plans, Inc., prior to the next payment due date. However, it should be noted that in order to have continuous coverage semester-by-semester, payment of the next quarterly premium must be received no later than the start date of the term for which coverage is purchased. Please see below for dependent premium payment due dates:

    Spouse/Domestic
Partner Only
Child Only Spouse/Domestic
Partner/Child
Spouse/Domestic
Partner/2 Children
Fall Term
Dependent Enrollment:
August 15, 2009 $1,416.50 $770.00 $2,186.50 $2,956.50
Winter Term
Dependent Enrollment:
November 1, 2009 $1,416.50 $770.00 $2,186.50 $2,956.50
Spring Term
Dependent Enrollment:
February 1, 2010 $1,416.50 $770.00 $2,186.50 $2,956.50
Summer Term
Dependent Enrollment:
May 1, 2010 $1,416.50 $770.00 $2,186.50 $2,956.50
(If you are enrolling more than three (3) dependents please contact University Health Plans, Inc., for the quarterly installment amount due.)

If the Quarterly Installment is received after the above payment deadline date, coverage will cease as of the last day of the previous term of coverage. Please note that timely payment of installments is the responsibility of the insured student. UMDNJ, University Health Plans, Inc., Aetna Student Health, or Aetna will not be held liable in the event of late payment, and subsequent cancellation of coverage.

Please contact University Health Plans at info@univhealthplans.com or (800) 437-6448 if you have any questions about enrolling yourself or dependents in the plan.


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