This form allows an insured to provide specific instructions to UnitedHealthcare Student Resources International for use or disclosure of protected health information for a particular purpose.
This document allows an insured to appoint a personal representative to act on their behalf in the matters of health insurance with UnitedHealthcare Student Resources International.
*You can submit the form online by signing in to My Account.
Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.
We suggest you review the certificate for your rates, effective dates before starting the enrollment process. The plan’s benefits can be found in the certificate within the Schedule of Benefits section with the exclusions towards the back.
All international F-1 and J-1 students are required to enroll in this insurance Plan at registration unless proof of a government sponsored plan or Employee sponsored is furnished. Eligible students who do enroll may also insure their eligible Dependents. US Citizens are not eligible for coverage as a student or dependent.
Eligible students who do enroll may also insure their Dependents. Eligible Dependents are the student’s legal spouse and dependent children under 26 years of age. Dependent Eligibility expires concurrently with that of the Insured student.
U.S. citizens are not eligible for coverage as a student or a Dependent.
Student/Dependent Enrollment Instructions
All international F-1 and J-1 students are required to enroll in this insurance Plan at registration unless proof of a government sponsored plan or Employee sponsored is furnished. If you do not meet this criteria, you cannot waive the insurance plan. Please utilize the below enrollment link to enroll in the PGH Global Care Basic Plan sponsored by Webster University. If you wish to waive your insurance please refer to the “Waive Your School’s Insurance” tab for further instructions.
Open Enrollment Coverage Periods for Undergrad/Grad Students
Annual: 8/8/22 – 8/7/23 (open enrollment ends on 09/12/22)
Fall: 8/8/22 – 12/31/22 (open enrollment ends on 09/12/22)
Fall 1: 8/8/22 – 10/17/22 (open enrollment ends on 09/12/22)
Fall 2: Fall 2 10/18/22 – 12/31/22 (open enrollment ends on 11/23/22)
Spring: Spring: 1/1/23 – 5/21/23 (open enrollment ends on 02/01/23)
Spring1: 1/1/23 – 3/19/23 (open enrollment ends on 02/02/23)
Spring 2 3/20/23 – 5/21/23 (open enrollment ends on 04/20/23)
TO ENROLL PLEASE CLICK ON THE FOLLOWING LINK:
Please be sure to select I AGREE when you are asked if you wish to share your Insurance Information with your school in order for your school to verify if you are in compliance with their Insurance Requirements.
Qualifying Life Event
Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.
Qualifying Life Events include:
Acquiring a new family member
Marriage/Civil Union
Divorce
Loss or change of Job
Expiration of Benefits
If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:
Proof of qualifying life event/proof of involuntary loss of coverage
Enrollment Form
Payment
All documents and payment must be received within 30 days of the qualifying life event.After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.
Please Contact Us for cost and enrollment information as a Qualifying Life Event.
If you have any questions about the enrollment process, please call 1-888-251-6253 or CONTACT US
My Account is a secure website that will provide you with personalized benefits and health plan information.
You’ll have 24/7 access to:
View your benefits and coverage details
View/download Digital ID card
Submit claims, check claim status and EOB
Review and respond to claim letters
Update personal information
Search for a preferred provider
Create* or Sign in to your My Account to access or manage your plan.
*You will be able to create your My Account 24-48 hours after your initial purchase of plan. Be sure to use the email address you used to purchase plan.
Please use this link below to search for preferred doctor, medical specialist, hospital or lab or receive cost estimates for you or any member covered under this plan.
* Your actual costs could vary. Check with your provider to confirm the cost and your health plan for benefits. You are responsible for costs that are not covered and for getting any referrals if required by your health plan. Neither payments nor benefits are guaranteed.
Note: Provider networks change periodically. To ensure that a provider is participating in the network, please confirm with your provider before making an appointment.
Behavioral health
Please use the link below to search for behavioral health provider or facility.
This form allows an insured to provide specific instructions to UnitedHealthcare Student Resources International for use or disclosure of protected health information for a particular purpose.
This document allows an insured to appoint a personal representative to act on their behalf in the matters of health insurance with UnitedHealthcare Student Resources International.
*You can submit the form online by signing in to My Account.
Welcome to the Waive Your School’s Insurance Center!
This page is for those students who wish to opt-out (waive) out of the coverage under their school’s student insurance plan. The school’s student insurance plan can only be waived if the student has coverage under a government sponsored plan or Employee sponsored Plan.
The first step to waive out of your school’s student insurance coverage is to verify that you are an eligible student.
All international F-1 and J-1 students are required to enroll in this insurance Plan at registration unless proof of a government sponsored plan or Employee sponsored is furnished. Eligible students who do enroll may also insure their eligible Dependents. US Citizens are not eligible for coverage as a student or dependent.
For those students who do not submit an approved waiver form before the deadline, you will be required to purchase the Student Health Insurance Plan. Please refer to the “Enroll Now” tab for further instructions. If you do not meet one of these requirements a hold will be placed on your student account and you will be unable to enroll in classes.
Once enrolled there are no refunds or cancellations.
Please Note: If you waive the insurance you will not be eligible to enroll until the following semester unless you experience a Qualifying Life Event.
Hard Waiver Student Waiver Instructions
Waiver Deadlines:
Annual: 8/8/22 – 8/7/23 (Deadline: 09/12/22)
Fall: 8/8/22 – 12/31/22 (Deadline: 09/12/22)
Fall 1: 8/8/22 – 10/17/22 (Deadline: 09/12/22)
Fall 2: Fall 2 10/18/22 – 12/31/22 (Deadline: 11/23/22)
Please note to submit your waiver you will be asked to login using your Webster Student ID number.
After you verify that you are a hard waiver student and have other insurance you will need the following to waive:
Webster Student ID #
Your current health insurance plan ID card,
Your health insurance brochure or plan description (or you might want mom & dad’s phone number handy to help answer some of the waiver questions). There might be a few questions about your current plan.
Once you have completed the waiver form, an email will automatically be sent to the email address you provided notifying you of the waiver request decision. If you receive a:
Pending e-mail– Your waiver request has not been accepted; it is in a pending status. Please check you email for all updates to your waiver status.
Approval e-mail– Your waiver was approved. You should print this e-mail and save it with your records. Please note, each semester you will be required to do a waiver.
Denial e-mail– Your waiver was denied. If you would like us to look this over or if you answered a question incorrectly, please contact us.
Please Note: If you waive the insurance, you will not be eligible to enroll until the following semester, unless you experience a Qualifying Life Event.
Qualifying Life Event
If you did not enroll during your open enrollment period and have since lost coverage under your original plan, you may qualify for a Qualifying Life Event upon providing proof of involuntary loss of coverage and payment within 30 days of losing coverage. (example: marriage, divorce, loss of job, etc) The enrollment form, check or money order, and the letter of creditable coverage must be received within 30 days of losing coverage. After 30 days the student will no longer be eligible to enroll in the plan until Fall of the following school year.
Please CONTACT USfor cost and enrollment information as a Qualifying Life Event.
If you have any questions about the enrollment process, please call 1-888-251-6253 or CONTACT US
