All full-time Traditional Undergraduate students enrolled for a minimum of twelve (12) credit hours will automatically be enrolled in the Jacksonville University Student Medical Insurance Plan and the premium for coverage is added to the tuition billing upon registration. This plan is also automatically added for Orthodontics students, excluding those participating in the Clinical Research in Orthodontic Fellowship Program. Coverage can be waived if evidence of other comparable coverage is presented prior to the waiver deadline.
General Rules for Enrollment
Students may enroll after the deadline only if there has been a significant life change (i.e. loss of prior coverage) and should contact the Jacksonville University Student Health Insurance Administrator at (904) 256-7080 or health@ju.edu. A written request must be submitted to the Controller’s Office with documentation as to why they no longer are insured. As will as proof of dropped coverage from the prior carrier. The rate will be pro-rated based on the month the student enrolls.
Special note for International Students
Waivers will only be accepted if your insurance coverage is based in the United States and the policy must be printed in English.
Special note for Active Duty Military Students
If you are non-NROTC Active Duty you will need to provide a completed waiver form and a letter from your CO, which states that you have full health and accident coverage.
Special note for Military Dependent Students
If you have Tricare Prime, a copy of your insurance card is still a requirement. If you do not have your card, please visit http://www.humana-military.com/ to access your card online.
If you have Tricare Standard or Extra, your military ID card should not be photocopied. Please submit your waiver in person to someone in the Controller's Office and show them your ID. They will then mark your waiver as showing proof.
Effective Dates:
The effective date of benefit coverage for the 2011-2012 academic year is August 1, 2011 – July 31, 2012.
Waiver Procedure:
All eligible students who have other comparable insurance coverage must file a waiver by the deadline below in order to waive participation in the Student Medical Insurance Plan. To submit an electronic waiver please visit www.myjustudentinsurance.com or click here for a hard copy. All waivers and proof of current comparable coverage should be submitted to the Controller’s Office.
If the waiver information has not been received by the indicated deadline, the student will remain enrolled in the University's Student Medical Insurance Plan and the charge for the Student Medical Insurance Plan cannot be removed.
Waiver Deadline:
The deadline to waive the student health insurance is August 26, 2011.
2011-2012 Brochure:
For the 11-12 brochure click here. Please be advised this brochure is not a contract. For benefit terms please refer to the benefit booklet, as the terms of the policy prevail.
Premium Rates:
| Semester |
Dates |
Rate |
| Annual |
08/01/2011 - 07/31/2012 |
$625 |
| Spring |
01/11/2012 - 07/31/2012 |
$396 |
| Summer |
05/14/2011 - 07/31/2012 |
$231 |
Claims Procedures:
On occasion, the claims investigation process will require additional information in order to property adjudicate the claim. This investigation will be handled directly by GM-Southwest, Inc.
Evolutions Healthcare System
In-Network Providers, mail claims to:
P.O. Box 5001 New Port Richey, FL 34565
Payer ID Medical Claims 59313
Provider Services: 1-800-308-2749
All Other Providers, mail claims to:
GM-Southwest, Inc. P.O.Box 6000 Frisco, TX 75034
Payer ID Medical Claims 75246
Provider Services: 1-855-837-3896
Jacksonville University Student Health Insurance Administrator
904-256-7080 or health@ju.edu