Nichols College
STUDENT HEALTH INSURANCE PLAN

2017-2018 Academic Year

Annual Term 2017

New and Returning students for Fall Term

The Commonwealth of Massachusetts mandates that all full-time and three-quarter-time students attending an institution of higher education in this state must be enrolled in a qualifying Student Health Plan that meets established minimum benefit guidelines. The minimum benefit guidelines can be found on the Massachusetts Health Connector.

All matriculated full-time and three-quarter-time Day students at Nichols College are required to carry health insurance and are automatically enrolled in and charged for the Nichols College Student Health Insurance Plan. Only matriculated full-time and three-quarter-time Day students are eligible to purchase this plan.

ALL NEW AND RETURNING STUDENTS MUST COMPLETE EITHER A WAIVER FORM OR ENROLLMENT FORM
WAIVER DEADLINE: July 3, 2017

WAIVER FORM: Complete this form if you have other, comparable coverage and want to remove the insurance premium charge from your student account.

ENROLLMENT FORM: Complete this form if you want to expedite the processing of your Student Health Insurance Plan enrollment. If you do not complete this form by the on-time deadline, your information may not be added to the insurance plan system until after the effective date of 08/15/2017.

To complete either form, click on the appropriate blue box on the left. Complete all of the required information. You have not successfully submitted your form until you reach the confirmation page, which will provide you with a confirmation number. Print your confirmation page for your own records. Do NOT send this page to Nichols College.


OTHER IMPORTANT NOTICES

ACCESS TO CARE IN THE DUDLEY AREA:
If you are covered by a health insurance plan outside of the Dudley area, your coverage may be limited or not available while at Nichols College. This is particularly a concern if you are insured through a Health Maintenance Organization (HMO). Please check with your insurance company on possible limitations before submitting a waiver form. Health insurance plans that do not reasonably provide access for all health services to the student in the Dudley, MA area are not eligible for a waiver.

INTERNATIONAL STUDENTS:
International students may not waive participation in the Student Health Insurance Plan if the health insurance coverage is from an insurance carrier outside of the U.S. or is offered by a foreign National Health Service program.

MISSING THE WAIVER/ENROLLMENT DEADLINE:
Students attending school during the Fall 2017 Term who do not complete a health insurance waiver/enrollment form by the deadline of July 3, 2017 will be automatically enrolled in and charged for the Nichols College Student Health Insurance Plan in order for the College to be in compliance with Massachusetts Law. However, your enrollment information will not be sent to University Health Plans or Blue Cross Blue Shield until after the effective date of August 15, 2017.  Also, students looking to waive will not be eligible for a reversal of the Student Insurance premium after the deadline date of July 3, 2017.

GENERAL PLAN INFORMATION:
The Nichols College Student Health Insurance Plan for the 2017-2018 year was negotiated with University Health Plans, Inc. and Blue Cross Blue Shield of MA. The plan covers students from August 15, 2017, through August 14, 2018, for the Annual Plan. The premium for an individual student is $2,142 for the Annual plan.

Coverage for the Spring Term is effective from January 1, 2018 through August 14, 2018.  The premium for an individual student for the Spring Term plan is $1,344.

To find Blue Cross Blue Shield providers click on the "Provider Search" link.

Should you have any enrollment/eligibility questions, please contact University Health Plans at 800-437-6448 or info@univhealthplans.com. For questions about benefits and claims, please contact Blue Cross Blue Shield of MA at 888-753-6615.

Student Financial Services
Nichols College
Learn. Lead. Succeed.

Phone: 508 213-2288
Fax: 508-213-2118
Email: SFS@nichols.edu
Twitter: @Nichols_SFS

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