Rochester Institute of Technology

International Student Insurance
2016-2017 Policy Year

 WAIVER FORM

Rochester Institute of Technology requires all international students to maintain medical insurance that provides coverage in the United States and meets certain minimum benefit requirements. To ensure this, RIT will automatically enroll all international students with A, B, E, F, G, I, J, K, O, Q, R or V visas in RIT's Student Health Insurance Plan based on their active registration status during the fall/winter, spring/summer and summer periods. Certain international students will be eligible for an automatic exemption from this insurance plan as determined by the Undergraduate Admissions and Graduate Enrollment Services Offices. All other requests for exemption must meet the criteria listed below.

If you are covered by another medical insurance plan with benefits comparable or better than those outlined below for claims processed in the United States, you may be eligible to waive RIT's insurance. There are very limited circumstances under which a waiver of the RIT health insurance will be granted. 

Prior to completing your online waiver form, please review the following and confirm that your Insurance Policy MEETS or EXCEEDS the following Minimum Requirements:

  • The policy must have maximum benefit of at least $500,000.
  • The maximum yearly deductible cannot exceed $500 per year.
  • In-Network co-insurance cannot be greater than 25%
  • Cannot have a pre-existing condition limitation
  • Unlimited maximum for Repatriation benefits
  • Unlimited maximum for Medical Evacuation benefits

Upon review and acceptance of your submitted information, your tuition bill will be credited the policy premium.

Please note that this request must be renewed every academic year.

THE 2016-2017 POLICY YEAR WAIVER DEADLINE IS SEPTEMBER 30, 2016.

TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Asterisk (*) denotes required field

STUDENT INFORMATION
 
first name: *
last name: *
student ID: *
date of birth: * (MM/DD/YYYY)