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This form provides information about the mandatory sickness and accident insurance requirements for J-1 Exchange Visitors and their dependents during their participation in an exchange visitor program.
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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 information in the designated sections, including your name, address, and program details.
03
Indicate your J-1 visa category and the dates of your program.
04
Provide details of your health insurance provider, including the policy number and coverage specifics.
05
Ensure that your insurance meets the minimum requirements as specified for J-1 visa holders.
06
Review the form for accuracy and completeness.
07
Submit the completed form to your program sponsor as per their guidelines.

Who needs J-1 INSURANCE NOTIFICATION FORM?

01
Individuals participating in a J-1 visa program, including exchange visitors, interns, and scholars.
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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 document that confirms that J-1 visa holders have obtained the required health insurance coverage in compliance with the U.S. Department of State regulations.
The J-1 Insurance Notification Form must be filed by all J-1 visa holders and their dependents to ensure they meet the health insurance requirements set by the U.S. Department of State.
To fill out the J-1 Insurance Notification Form, the applicant should provide personal details, insurance provider information, policy number, and coverage dates, ensuring all information is accurate and complete.
The purpose of the J-1 Insurance Notification Form is to verify that J-1 visa holders have adequate health insurance coverage that meets the minimum requirements outlined by the U.S. Department of State.
The information that must be reported on the J-1 Insurance Notification Form includes the applicant's full name, insurance provider details, policy number, duration of coverage, and any additional relevant information pertaining to the insurance policy.
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