Waiver for MIT Student Extended Insurance Plan

Waiver requests are now being accepted for the 2010 spring term. At this time, you may choose to waive the Student Extended Insurance Plan only for the spring term (February 1, 2010 - August 31, 2010). Spring term waiver requests must be submitted no later than February 28, 2010.

Important future online waiver notice

Student wishing to request waivers for the 2010-2011 Academic Year (September 1, 2010 - August 31, 2011) must resubmit their online waiver request during the 2010 fall term open enrollment period (deadline September 30, 2010). The Fall and Spring term online waiver will be available July 2010.

If you have any questions, please e-mail us at stuplan@med.mit.edu or call us at 617-253-4371.

How the Waiver Works

All MIT students are automatically enrolled in the MIT Student Extended Insurance Plan. Students whose current insurance coverage meets the minimum standards required by the Commonwealth of Massachusetts may complete an online waiver request which is submitted to the MIT Student Health Plans. Upon submission of a waiver request, an email will be sent confirming its receipt as the application is checked for comparability against the Commonwealth of Massachusetts state insurance requirements. Please print and save this email confirmation as a receipt of your waiver transaction. If the waiver request is approved, the cost of the MIT Student Extended Insurance Plan will be removed from the student's term bill. Students waiving the MIT Student Extended Insurance Plan should carry their insurance card with them. Waiver requests must be submitted each academic year.

You must read and agree with the following statement to continue:

I am currently participating in and will continue to participate in a health insurance program other than the MIT Student Extended Insurance Plan. I have compared my current insurance to the Massachusetts Student Health Insurance Program (SHIP) minimum requirements and my plan meets all Massachusetts SHIP requirements.

I agree

You must read and agree to the following statement to continue:

I wish to waive enrollment in the MIT Student Extended Insurance Plan. I understand that by waiving the MIT sponsored student health insurance plan, I will be fully responsible for all medical expenses resulting from services that are not covered by my health insurance. I acknowledge that even if I am referred for services outside of MIT Medical, all cost for that medical care (including prescription drugs) are my responsibility and neither MIT nor MIT Medical will be responsible for those expenses.

I agree

You must read and agree to the following statement to continue:

I certify that my insurance coverage is with a U.S. based company. The state of Massachusetts no longer allows waivers with insurance policies that have an international carrier based outside of the U.S.

I agree

Student-Athletes must read and agree to the following statements:

I understand that as a student-athlete at MIT, I am required to have and maintain current individual medical/health insurance coverage, before and while participating in any strength and conditioning session, practice, game, competition, and/or team travel that is supervised by approved MIT coaching staff, and approved by the Director of Athletics, according to NCAA regulations.

I understand that my health insurance coverage shall include a provision for sports injury/illness related medical care with a limit of at least $75,000.

I understand that if my health insurance coverage lapses I shall discontinue participation until I procure an acceptable level of coverage.

I understand that since participation in the program is voluntary, MIT shall not be responsible for medical bills, including deductibles, not covered by my medical/health insurance policy. I understand that coverage or reimbursement for costs associated with hospital emergency room visits, off-campus office visits, off-campus hospitalization, and other health care (e.g. lab tests, imaging, orthotics, physical therapy), even when referred by the Sports Health Care Team, MIT Medical providers, or others (e.g. coach and non MIT Healthcare providers), shall be determined solely by my health insurance policy.

I understand

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