Waive Coverage

Minimum Board of Regents Waiver Requirements

• Plan must be ACA compliant, meaning that the plan is an individual or group insurance plan meeting the requirements of ACA.
  • Unlimited Maximum Benefit for covered medical expenses.
  • Coverage for essential benefits (with no dollar limits), as defined under the ACA. This includes,but is not limited to:
    • Pharmacy
    • Mental health services on parity with medical services
    • Maternity benefits
    • Preventive care with no cost-sharing for Preferred Providers
    • Coverage for pre-existing condition with no waiting period
    • Pediatric dental and vision coverage
• Maximum preferred provider total out-of-pocket expenses cannot exceed $9,450 per member ($18,900 per family). This amount will be adjusted annually to reflect the then current allowable maximum out-of-pocket
• For students in J status waiver eligible coverage meeting USG and U.S. Department State regulatory minimum requirements must be submitted at the time of the immigration check-in appointment. J visa holders must have the following minimum benefits:
  • Deductible of no more than $500 per accident or illness.
  • Medical Benefits of at least $100,000 per accident or illness.
  • Expenses associated with the medical evacuation to his or home country in the amount of $50,000
  • Repatriation of remains in the amount of $25,000. (Can be purchased separately)
  • A policy underwritten by an insurance carrier with:
    • an A.M. Best rating of "A-" or above
    • a McGraw Hill Financial/Standard & Poor's Claims Paying Ability rating of "A-" or above
    • a Fitch Rating, Inc. rating of "A-" or above
    • a Weiss Research, Inc. rating of "B +" or above

Please note: Bridge, Gap, Monthly, TriTerm, STM (Short Term Medical), International, Travel, limit/Indemnity plans will not be accepted.