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SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer Health Insurance Requirements and the Student Health Insurance Plan (SHIP)

SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

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Page 1: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

SHIP Operations Coordinator: Lindsay KnudsonProgram Coordinator:

Kim MadayAssistant Program Coordinator:

Ryan Redmer

J-1 Mandatory Health Insurance

Requirementsand the Student Health Insurance Plan

(SHIP)

Page 2: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

J-1 Mandatory Health Insurance

Requirements• Per the Department of State, all J-1 Exchange

Visitors are required to carry valid health insurance for the duration of their J-1 program.o D.O.S. regulation 22 C.F.R. § 62.14 specifies this requirement

• As the official program sponsor, IFSS is responsible for making sure the health insurance requirements are actively carried out

• IFSS fulfills this obligation through our relationship with the SHIP officeo Implementation of 22 C.F.R. § 62.14 varies based on the individual

program sponsor.

Page 3: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

SHIP: Who We Are, Why We’re Here

• Insurance is a form of risk sharing among a group of people.

• As more people sign up for the insurance policy, this risk is spread out over a larger group, resulting in possible reductions to premiums levels and expansion of covered services.

• In 1993, UW-Madison developed a comprehensive and affordable health insurance policy for international students, scholars and their dependents, to ensure that large unexpected medical expenses do not hinder their educational objectives.

Page 4: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

SHIP: Who We Are, Why We’re Here

• Current UW-Madison policy requires that international students and J-1 scholars have adequate health insurance at all times for themselves and their dependent families.

• This policy is consistent with existing the United States Citizenship & Immigration Services, a branch of the Department of Homeland Security.

Page 5: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

How Does SHIP Manage J-1

Compliance?

Page 6: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

Pre-Arrival & Marketing Communications

• Emails• Mailers• J-1 Scholar

Pre-arrival Packet

• Websitewww.uhs.wisc.edu/ship

Page 7: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

Bi-Weekly J-1 Orientations

• Welcome and Intro to SHIP• Summary of Benefits Handouts• Brief overview of SHIP benefits• Information on how to register• Reminder of registration deadline• Office hours, location and contact

information

Page 8: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

Open Enrollment Periods

• Students: Fall, Spring & Summer Semesterso Fall: July 15-September 14o Spring: December 15-February 14o Summer: May 15-July 14

• J-1 Scholars: 31 Days after arrival into the United States

Page 9: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

We’re On Campus for Your Convenience

• Team of Customer Service Representatives

• 333 E. Campus Mall, 7th Floor• Open M-F 9am – 5pm• Phone: 608-265-5232• Email: [email protected]

Page 10: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

Registration Options for J-1 Scholars

• Enrollmento Must purchase 6-12 months, based on their J-1 Program

arrival/departure dates

o Billing months are from the 15th of one month to the 14th of the next. Additionally, premiums are based on age and number of dependents.

o Must provide copies of DS2019 and Stamped Passports for self and any J-2 dependents

o Payment by Visa, MasterCard, Discover, check, or exact cash

o In-office registration is preferred

Page 11: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

Registration Options for J-1 Scholars

• Waiver Application

o Enrolled in a State Group Health Plan

o UW-Madison has an agreement established with their foreign institution

o They are researching or studying abroad for the semester/year (dept. verification required)

o J-1Visa is issued by another university

o Must provide current proof of insurance

o Must provide copies of DS2019 and Stamped Passports for self and any J-2 dependents

Page 12: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

What Insurance Qualifies for a Waiver?

Page 13: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

• U.S. Based, Group Health Insurance Plans

• WI State Group Health Plans (GHC, Unity, Dean, Physicians Plus)

• Foreign Institutions that have an established agreement with UW-Madison

Waiver Approvals

Page 14: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

• J-1 Program participants and their dependents are required to have medical insurance coverage with the following minimum benefits [22 CFR 62.14]

o Medical benefits of at least $50,000 per accident or illnesso SHIP provides benefits up to $1,000,000

o Repatriation of remains in the amount of $7,500o SHIP provides benefits up to $1,000,000

o Expenses associated with the medical evacuation of the exchange visitor to his/her home country in the amount of $10,000

o SHIP provides benefits up to $1,000,000

o A deductible not to exceed $500 per accident or illnesso SHIP In-Network Care for International Scholars has a $0 deductible

Minimum Qualifications

Page 15: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

• No Travel or Individual Plans• Insurance plans that exclude or limit the following

benefits will not be approved:o Maternity Coverage

o Mental Health and Nervous Disorders

o Attempted Suicide

o AIDs, HIV or other sexually transmitted infections

o Alcohol/Drug Abuse assessment and treatment

o *Note: If a scholar’s plan meets the minimum requirements, but is not listed on the current Waiver application, the plan must be submitted for review and may still be denied. Please contact the SHIP office for how to establish a waiver agreement. Review time can take up to 8 weeks.

Waiver Denials

Page 16: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

How SHIP and IFSS Work Together

Page 17: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

J-1 Pre-Arrival and Orientation

• Scholars are accepted to the program and sent a pre-arrival packet of information

• The SHIP portion of this packet includes registration deadlines, billing cycles and how to contact our office with questions

• Once scholars arrive to the U.S. they are required to attend a J-1 Program Orientation

Page 18: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

IFSS J-1 Program Notifications to SHIP • New arrival emails containing DS-2019

for scholar and any J-2 dependents

• Program extension emails containing extended DS-2019 for scholar and any J-2 dependents

• Program Amendments and Terminations emails

Page 19: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

SHIP Scholar Fridays• SHIP has weekly system generated

reportso These reports are for scholars who are non-compliant or

nearing their 31 day SHIP compliance deadline

• Email Communications to Scholars and Department are sento 1st, 2nd and 3rd emails are reminder notificationso 4th notifications come AFTER scholar’s registration

deadline is missed

Page 20: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

IFSS Compliance Checks

• IFSS must verify SHIP compliance anytime a scholar submits a document request

• Once compliance is verified, IFSS can approve:o Program Extensionso Travel Endorsementso Transferso J-2 Dependent Entry Requests

Page 21: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

Non-Compliant J-1 Scholars

• If a scholar is non-compliant, meaning they missed their 31 day registration deadline, or have left the United States without paying their full SHIP balance:o Scholar will have to reconcile with the SHIP office by either purchasing

SHIP or waiving SHIP and also pay a $100 SHIP administrative late fee

• If scholar does not comply, IFSS will make a determination as to whether or not a termination of the scholar’s program is necessary.

Page 22: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

How You and SHIP Can Work Together

• If your department would like to offer your J-1 scholar financial assistance with their health insurance premiums, you can do this in one of three ways:o Direct JET Transferso Internal Work Orders (IWOs)o Interdepartmental Billing Forms (IDBs)

• Please remember to submit payment documentation to the SHIP office along with:o Copies of DS2019s and Stamped Passports for all J-1 and J-2

Dependents

Page 23: SHIP Operations Coordinator: Lindsay Knudson Program Coordinator: Kim Maday Assistant Program Coordinator: Ryan Redmer J-1 Mandatory Health Insurance Requirements

Questions?• Please contact the SHIP office!

o Phone: 265-5232o Email: [email protected] Fax: 265-5668