What is a waiver form?
The waiver form is verification that you have purchased alternative, qualifying health insurance coverage. The form must be submitted before the waiver deadline each semester. If the waiver is approved, the insurance charge will be removed from your account. The alternative, qualifying coverage must be valid from the first day of classes and must end no earlier than the last day of classes for the semester.
What are the requirements for an alternative health insurance?
A) Unlimited Maximum Benefit for Covered medical expenses
B) Coverage for essential benefits as defined under Patient Protection and Affordable Care Act – including pharmacy, mental health, maternity, preventive care, contraception – with no dollar limits, and coverage for pre-existing conditions
C) Includes Pediatric dental and vision coverage as defined by ACA
D) Policy year deductible of $500 or less. Maximum total out of pocket expense cannot exceed $6,350 per member, $12,700 per family with preferred providers. Deductible, coinsurance, and any copays count toward out-of-pocket maximum
E) Minimum of $10,000 for repatriation and $15,000 for medical evacuation
F) Minimum of 80% coinsurance payable by the insurance plan to network providers. Emergency/urgent care coverage only is not accepted
G) Possess verifiable proof of coverage with student’s name (ID card, insurance policy or letter from insurance carrier ) and coverage plan document(s) in English, with currency amounts converted to U.S. dollars, and an insurance company contact phone # in the U.S.
H) Effective dates must cover the entire semester
I) Insurer has a base of operations in the US or has a US based claims payer
Where can I find the waiver form?
To access the Health Insurance Waiver form:
1. Go to https://ksis.k-state.edu/
2. Enter your eID and password.
3. On the left-hand menu select Self Service.
4. Then click on Student Center.
5. Here you will see three sections: Academics, Finances and Personal Information. The waiver form is located in the drop down box in the Finances Section. Select the Insurance Waiver form and then click the double arrow button.
6. Complete the waiver form entirely.
7. Click submit once you have finished.
What happens after I submit the waiver form?
The Insurance Coordinator will review your form and if approved, the insurance charge will be removed within 5 business days. If your waiver is denied, you will receive notification of the denial and the charge will remain on your account. If you do not see the adjustment of the fee on your account or receive an email from the Insurance Coordinator, you should contact firstname.lastname@example.org prior to the waiver deadline.