Student Medical Insurance Plan

Eligibility: WSU Student Medical Insurance Plan eligibility defined.
International Student Requirements: Review University requirements and waiver process.
Domestic Partnerships: View qualifying criteria for domestic partnerships.

2009 - 2010 Policy Information & Forms

Premiums: see enrollment form

Enrollment Form: Newly acquired dependents (new spouse/domestic partner, child, adoption) must be enrolled and premium must be paid for them within 31 days after becoming eligible in order to become insured.

Affadavit of Domestic Partnership

Cancellation Form

Plan Summary

Policy Brochure: Please review for complete coverage details.

Claim Form

2008-2009 Policy Information & Forms

Premiums

Plan Summary

Policy Brochure

Claim Form

GAP Enrollment Form: International students and graduate students not on a summer assistantship - who begin their studies at WSU during the summer session - can enroll in this plan for coverage through the end of summer until they can enroll in this or the graduate student insurance plan during the regular enrollment period. (See guidelines and requirements on the form.)

Important Updates

Cards for fall/annual enrollment will be available by late October. Check your my.WSU notices for info on how to get your card. View more updates and notices.

Deadlines

International Student Alternative Insurance Submission Deadlines: 5th day of classes

Fall: August 28, 2009

Spring: January 15, 2010

Fall/Annual Enrollment & Cancellation Deadline:
10th day of Classes

September 4, 2009

Coverage starts August 16, 2009 or the day after enrollment.

Spring/Summer Enrollment & cancellation deadline:

10th day of Classes

January 22, 2010

Coverage starts January 1, 2010 or the day after enrollment.

Maksin Management Corp. Visit this site for more info from the plan provider about the insurance plan.

Health & Wellness Services, PO Box 642302, Washington State University, Pullman WA 99164-2302, 509-335-3575, hws@wsu.edu, Patient Rights