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This form notifies J-1 Exchange Visitors and their dependents of mandatory sickness and accident insurance requirements during their participation in the exchange program, including guidance on maintaining
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How to fill out j-1 insurance notification form

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How to fill out J-1 INSURANCE NOTIFICATION FORM

01
Obtain the J-1 Insurance Notification Form from your program sponsor or the designated website.
02
Fill in your personal details, including your name, date of birth, and J-1 visa application number in the designated fields.
03
Indicate the program category you fall under, such as research scholar, intern, or trainee.
04
Provide information about your insurance provider, including the name and policy number.
05
Ensure that your insurance meets the minimum health insurance requirements set by the J-1 visa regulations.
06
Sign and date the form to certify that the information provided is accurate.
07
Submit the completed form to your program sponsor or the relevant authority as instructed.

Who needs J-1 INSURANCE NOTIFICATION FORM?

01
Individuals applying for a J-1 visa as exchange visitors, including interns, scholars, and trainees.
02
Any J-1 program participants who are required to provide proof of health insurance as part of their visa conditions.
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A letter from an insurance company, on official letterhead or stationery, including:A letter or premium bill from your former insurance company that shows you or your dependent's cancellation/termination from health coverage.
Sickness and Accident Insurance Requirement Note all exchange visitors and their dependents are responsible for ensuring they are covered by medical insurance from the day you arrive through the day you leave the United States, including the 30 day grace period before and after the training/internship program.
The 3-month premium payment grace period starts the first month you didn't pay, even if you make payments for the following months. Example of grace period: You don't make your premium payment for May. You submit premium payments on time for June and July, but still haven't paid for May.
This document explains the health benefits you and your dependents have under the plan. It details the services that will and will not be covered. Services that are not covered are called exclusions.
Per USDOS, minimum levels of health insurance coverage must provide: medical benefits of at least $100,000 per illness or accident. deductible not to exceed $500 per accident or illness. expenses associated with medical evacuation in the amount of $50,000.
Sickness and Accident Insurance Requirement Note all exchange visitors and their dependents are responsible for ensuring they are covered by medical insurance from the day you arrive through the day you leave the United States, including the 30 day grace period before and after the training/internship program.
Please note that you are not allowed to work in the U.S. during the 30-day grace period. If you exit the U.S. during the 30-day grace period and wish to reenter, you must do so as a tourist with a B-1/B-2 visa or on a visa waiver.
There are two nonimmigrant visa categories for persons to participate in exchange visitor programs in the United States. The J-1 visa is for educational and cultural exchange programs designated by the Department of State.
This document explains the health benefits you and your dependents have under the plan. It details the services that will and will not be covered. Services that are not covered are called exclusions.
How to Get the Proof of Insurance Letter? You must contact the employer or insurance company (whichever is applicable) if any authority demands a proof of insurance letter or document.

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The J-1 Insurance Notification Form is a form that certifies compliance with the insurance requirements for J-1 visa holders participating in exchange visitor programs. It serves as proof that the participant has acquired the necessary health insurance coverage as mandated by the U.S. Department of State.
The J-1 Insurance Notification Form must be filed by all J-1 visa holders and their sponsors or organizations that host the exchange visitors, ensuring compliance with the health insurance requirements.
To fill out the J-1 Insurance Notification Form, the participant must provide personal information, details about the insurance policy, including the insurer's name, policy number, and coverage dates. The form may also require the signature of the sponsor to validate the information provided.
The purpose of the J-1 Insurance Notification Form is to ensure that J-1 visa holders have adequate health insurance coverage during their stay in the United States, fulfilling the legal requirements set forth by the U.S. Department of State to protect both the participants and the healthcare system.
The J-1 Insurance Notification Form must report information such as the J-1 participant's personal details (name, address, date of birth), the name and address of the insurance provider, policy number, dates of coverage, and a statement confirming that the insurance meets the minimum requirements specified by the U.S. Department of State.
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