|August 22, 2012 - January 14, 2013||$444.50|
|January 15, 2013 - August 21, 2013||$444.50|
Students can be excused from the mandatory insurance if they have equal or better health coverage from another company. In order to waive the mandatory insurance, students must submit an online waiver form by the waiver deadline date.
Instructions to waive the student health insurance:
- Go to www.gallagherkoster.com/FIT.
- Click STUDENT WAIVE.
- Log in to access your account. Follow the instructions on how to log in.
- Once you access your account, select the red I WANT TO WAIVE button.
Immediately upon submitting the waiver form, you will receive a confirmation number. You will subsequently receive an email confirmation at the email address you provided. Retain this confirmation number for your records, as it is your only documentation that your form was successfully submitted.
Please submit all claims with your name and identification number to:
United Healthcare Student Resources
PO BOX 809025
Dallas, TX 75380-9025
1 (866) 948-8472
Although a claims form is not required, you can download one here.
For coverage, present your ID card at the pharmacy when dropping off your prescription. If you haven't received your ID card, you may pay for the prescription, then complete the Medco Reimbursement Form for reimbursement.
To locate a participating pharmacy, visit www.medco.com or call Medco at 1 (800) 711-0917. For more information on prescription coverage, please visit www.gallagherkoster.com or call 1 (800) 397-4938.
Participating Healthcare Providers
For information on participating healthcare providers, please contact:
United Healthcare Options PPO
1 (800) 767-0700
Multiplan Preferred Provider Network
1 (800) 672-2140
* Please note that certain services require referral from FIT Health Services. Go to www.gallagherkoster.com or call 1 (800) 397-4938 for more information.
Gallagher Koster Complements Programs
EyeMed Discount Vision Plan
1 (866) 839-3633
Basix Dental Savings and CampusFit
1 (888) 274-9961
Need insurance after graduation?
You may be eligible to enroll for one additional period of coverage through Gallagher Koster. You have to be enrolled in the student health insurance plan for at least 6 consecutive months to be eligible to continue your coverage after it terminates. Enrollment must be made at least 15 days prior to termination. The Continuation Plan does not duplicate the coverage of your Student Health Insurance Plan and the premium is not the same. You are responsible for timely payment of the premium. Call Gallagher Koster at 1 (800) 397-4938 for more information and enrollment details.
Questions? Need more information?
For general information on the benefits, on how to enroll, or service issues, please contact:
500 Victory Road
Quincy, MA 02171
1 (800) 397-4938
For information on a specific claim or to check the status of a claim, please contact:
Klais & Company, Inc.
1867 West Market Street
Akron, OH 44313-6977
1 (800) 331-1096
To register for StatusLink Claims Look-Up, go to www.klais.com.
For Frequently Asked Questions regarding the student health insurance, click here.