Form preview

Get the free J-1 Exchange Visitor Health Insurance Acknowledgement & Pledge - hr ou

Get Form
Este formulario es para notificar a la oficina apropiada de IFSS sobre la entrada de un visitante de intercambio J-1 a los EE. UU. y su llegada al campus. Se requiere prueba de entrada y dirección
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign j-1 exchange visitor health

Edit
Edit your j-1 exchange visitor health form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your j-1 exchange visitor health form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing j-1 exchange visitor health online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit j-1 exchange visitor health. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
It's easier to work with documents with pdfFiller than you can have believed. You may try it out for yourself by signing up for an account.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out j-1 exchange visitor health

Illustration

How to fill out J-1 Exchange Visitor Health Insurance Acknowledgement & Pledge

01
Obtain the J-1 Exchange Visitor Health Insurance Acknowledgement & Pledge form from your program sponsor or official website.
02
Read the instructions carefully to understand the health insurance requirements for J-1 visa holders.
03
Fill in your personal details such as your name, program number, and contact information in the designated fields.
04
Review the health insurance coverage options available and select the one that meets the J-1 visa requirements.
05
Confirm that you understand the terms and conditions of the health insurance policy you've selected.
06
Sign and date the form to acknowledge your understanding and commitment to maintain health insurance coverage for the duration of your J-1 program.
07
Submit the completed form to your program sponsor or the designated office as instructed.

Who needs J-1 Exchange Visitor Health Insurance Acknowledgement & Pledge?

01
All J-1 Exchange Visitors including students, scholars, and researchers who are participating in programs within the United States.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
36 Votes

People Also Ask about

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.
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. The Q-1 visa is for participation in certain international cultural exchange programs.
J1 Visa Insurance Requirements Medical benefits of at least $100,000 per accident or illness. Repatriation of remains in the amount of $25,000. Expenses associated with the medical evacuation of the J1 visitor to his or her home country in the amount of $50,000.
J1 Visa Insurance Requirements Medical benefits of at least $100,000 per accident or illness. Repatriation of remains in the amount of $25,000. Expenses associated with the medical evacuation of the J1 visitor to his or her home country in the amount of $50,000. A deductible not to exceed $500 per accident or illness.
The U.S. Department of State, which mandates the following minimum insurance requirements for J visa holders: Medical: $100,000/incident. Emergency medical evacuation: $50,000. Repatriation of remains: $25,000.
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.
J-1 Exchange Visitors From 30+ Countries No Longer Subject to Two-Year Foreign Home Residency Requirement. The Department of State (DOS) revised the J-1 Skills List, which lists home countries to which foreign nationals are subject to a two-year foreign home residency requirement.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The J-1 Exchange Visitor Health Insurance Acknowledgement & Pledge is a document that confirms the participant's understanding of the health insurance requirements mandated for J-1 visa holders. It serves as a commitment to maintain the necessary health insurance coverage during their exchange program.
All J-1 Exchange Visitors and their dependents are required to file the J-1 Exchange Visitor Health Insurance Acknowledgement & Pledge to confirm they have adequate health insurance coverage as per the regulations.
To fill out the J-1 Exchange Visitor Health Insurance Acknowledgement & Pledge, you need to provide personal details such as your name, program information, and the details of the health insurance policy you hold, ensuring it meets the requirements outlined by the Department of State.
The purpose of the J-1 Exchange Visitor Health Insurance Acknowledgement & Pledge is to ensure that all participants in the J-1 exchange program have appropriate health insurance coverage, thereby protecting their health and financial well-being during their stay in the United States.
The J-1 Exchange Visitor Health Insurance Acknowledgement & Pledge must report details including the name of the insurance provider, policy number, coverage dates, and confirmation that the insurance meets the minimum requirements set by the U.S. Department of State.
Fill out your j-1 exchange visitor health online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.