Published on Samuel Merritt College (http://www.samuelmerritt.edu)
Student Health Insurance

Samuel Merritt College requires all students to have health insurance to ensure that they have access to health care in the event of illness or accident. Students are required to maintain their health insurance to cover health care costs not covered by Student Health Services and during periods when the College is not in session.

The College offers a PPO plan through Blue Cross, complete with prescription drug plan, co-pays, vision and dental exams, and ability to enroll dependents, spouse and domestic partners. Students can waive this plan if they have equal or better benefits through an employer group plan that they may be covered under.

Students who do not have other insurance or whose insurance does not meet the waiver requirements are required to enroll in the policy offered through the College. The insurance fee is billed annually to each student unless and until the student provides proof of alternative coverage.

IMPORTANT NOTICE FOR STUDENTS WHO WISH TO WAIVE COLLEGE SPONSORED HEALTH INSURANCE

Students who wish to waive college sponsored Insurance plan must provide proof of alternative coverage by submitting a completed, mandatory student health insurance form to the Office of Student Services by the date of their orientation . Students who do not meet this deadline will be billed for the annual plan.

For additional information please see:

Insurance Benefit Information

Samuel Merritt College Student Medical Insurance Brochure [1]

Samuel Merritt College Student Rx Brochure [2] [3]

Samuel Merritt College Vision Insurance Brochure [4]

Samuel Merritt College Dental Insurance Brochure [5]


2007-2008 Student Insurance Rates

 

ANNUAL COMBINED STUDENT & DEPENDENT PREMIUMS

(Medical, Vision, Dental and Worldwide Assistance)

Student Only*

$2,572.08

*Includes Medical, Dental, Vision, Worldwide Assistance

 

Student + Partner/Spouse

$5,546.64

Includes Student + Partner/Spouse Medical, Dental, Vision, Worldwide Assistance

 

 

Family

$7,927.68

Includes Student + Partner/Spouse and Child Medical, Dental, Vision, Worldwide Assistance

 

Student + Child(ren)

$5,836.08

Includes Student + Child(ren) Medical, Dental, Vision, Worldwide Assistance


Insurance Forms

Samuel Merritt College Student Insurance Enrollment Form [6]

Samuel Merritt College Student Insurance Waiver [7]

Samuel Merritt College Student Insurance Change Form [8]

 

These forms requre Adobe Acrobat Reader to view and print. [9]

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Source URL: http://www.samuelmerritt.edu/student_services/student_health_insurance

Links:
[1] http://www.samuelmerritt.edu/files/forms/200708_medical_summary_of_benefits.pdf
[2] http://www.samuelmerritt.edu/files/forms/200708_rx_summary_of_benefits.pdf
[3] http://www.samuelmerritt.edu/files/forms/student_rx_update.pdf
[4] http://www.samuelmerritt.edu/files/forms/200708_vision_summary_of_benefits.pdf
[5] http://www.samuelmerritt.edu/files/forms/200708_dental_summary_of_benefits.pdf
[6] http://www.samuelmerritt.edu/files/forms/enrollment_form_smc.PDF
[7] http://www.samuelmerritt.edu/files/forms/waiver_form_smc.PDF
[8] http://www.samuelmerritt.edu/files/forms/change_form_smc.PDF
[9] http://www.adobe.com/products/acrobat/readstep2.html