Get the free Ohio State University Student Health Insurance Plan Coverage Status Change Form - sh...

This form is used by students at Ohio State University to notify Koster Insurance Agency of qualifying events that necessitate a change in their health insurance coverage status.

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How to fill out Ohio State University Student Health Insurance Plan Coverage Status Change Form

1. Obtain the Ohio State University Student Health Insurance Plan Coverage Status Change Form from the university's health insurance website or office.
2. Fill in your personal information at the top of the form, including your name, student ID, and contact information.
3. Indicate the reason for the change in coverage status, such as loss of coverage, a change in dependent status, or other relevant reasons.
4. Check the appropriate boxes that correspond to your current and new coverage status.
5. Provide any necessary documentation that supports your request, such as proof of new insurance or changes in dependent eligibility.
6. Review the entire form for accuracy and completeness.
7. Sign and date the form to certify that all information provided is true and correct.
8. Submit the completed form to the designated office as indicated in the instructions, either in person or via email.

Who needs Ohio State University Student Health Insurance Plan Coverage Status Change Form?

1. Students who are currently enrolled in the Ohio State University Student Health Insurance Plan and are experiencing a change in their coverage status.
2. Students who have recently lost their previous health insurance or have a new insurance plan that needs to be reported.
3. Students who need to add or remove dependents from their coverage.

People Also Ask about

How to decline Ohio University health insurance?

Domestic students who already have comparable health coverage may waive the United Healthcare student insurance plan by logging online to MyOHIO Student Center and completing the insurance waiver. To avoid paying for the policy offered by Ohio University, you must decline the coverage online by the posted deadline.

Does osu offer health insurance to students?

The OSU Student Health Insurance Plan ensures that you receive affordable coverage and access to a wide network of healthcare providers across the nation.

How do I cancel my ISU student insurance?

You would complete an online cancellation form and may be required to provide proof of other coverage (copy of insurance card) each semester prior to the 15th calendar day of the fall and spring semesters and the 8th calendar day of the summer semester.

How much is Ohio University health insurance?

(Continuing coverage for students/dependents who purchased the Fall 2025 coverage period.) Estimated Premium Rates: Student: $1,398.00. Spouse: $1,398.00.

How to cancel student health insurance osu?

Waiver Procedures Log into your My Buckeye Link. Click the My Buckeye Link Student login tile, then enter your name. On the left side of the page, locate the Student Health Insurance title bar in the Finances area. Click the Select/Waive Coverage link.

How to opt out of student health insurance USC?

You may waive the SHIP/Aetna plan through the Aetna website before the third week of the fall semester — you must submit a waiver every year. If you are starting as a new student in the spring semester, submit the waiver before the third week of the spring semester in your first year, and then annually each fall.

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What is Ohio State University Student Health Insurance Plan Coverage Status Change Form?

The Ohio State University Student Health Insurance Plan Coverage Status Change Form is a document used by students to report any changes in their health insurance coverage, ensuring that their health insurance records are up-to-date.

Who is required to file Ohio State University Student Health Insurance Plan Coverage Status Change Form?

Students who experience a change in their health insurance status, such as losing coverage, gaining new insurance, or other relevant changes, are required to file the Ohio State University Student Health Insurance Plan Coverage Status Change Form.

How to fill out Ohio State University Student Health Insurance Plan Coverage Status Change Form?

To fill out the form, students need to provide their personal information, details of the previous and current insurance coverage, the reason for the change, and any supporting documentation that may be required.

What is the purpose of Ohio State University Student Health Insurance Plan Coverage Status Change Form?

The purpose of the form is to ensure that students are properly enrolled in health insurance and to keep the university informed about their coverage status for health service eligibility.

What information must be reported on Ohio State University Student Health Insurance Plan Coverage Status Change Form?

The form must report the student's full name, student ID, previous insurance provider, current insurance provider, effective dates of new coverage, and the specific change in their coverage status.