Health Insurance Coverage with Tufts Health Plan

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Waiver Information and Forms

If you have your own health insurance, the information below will help you determine if your plan qualifies or a Waiver, based on State Law:

Currently Enrolled Students

2009-2010 Insurance Rates Announcements:

School of Dental Medicine, School of Medicine, Friedman School of Nutrition Science and Policy, Public Health & Professional Degree Programs, and Cummings School of Veterinary Medicine students.

Sackler Graduate School of Biomedical Sciences' students.

Open Enrollment - September 1, 2009

September is Open Enrollment for the student group plan. In September of each year, any eligible student may apply for coverage and/or add eligible dependent(s) without a qualifying event.

Complete a Tufts Health Plan Member Enrollment Form and submit it to the SAHA Office prior to September 30th. The effective date of coverage is 09/01/09.

If you lose your coverage during the Academic Year, through no fault of your own, here's how to apply for coverage with Tufts Health Plan:

Students, who waive Tufts Health Plan at the beginning of the academic year and subsequently lose their alternate health insurance coverage, through no fault of their own, may apply for Tufts Health Plan within 30 days of loss of coverage, by completing a "Tufts Health Plan Member Enrollment Form."

Coverage will begin on the day after the student’s alternate insurance ends. Eligible dependents may also be added during the academic year, if a qualifying event has occurred.  Qualifying events include: change in marital status; birth or adoption of a child; or loss of current coverage “through no fault of your own.” 

Students applying for coverage during the academic year must also submit a letter from their current insurance company confirming: (1) verification of previous coverage, (2) the reason for cancellation, and (3) the date of cancellation.  Documentation verifying the qualifying event must be included with a new application. The same documentation is required when adding a dependent during the academic year.

Payment is prorated monthly, based on the effective enrollment date.  However, full payment must be made at the time of application for the remainder of the current semester and the next semester, if applicable.  For example, if the enrollment date is February 1st, payment must be made for 7 months, February 1, 2010 through August 31, 2010. Contact the SAHA Office for your prorated cost.

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Forms Required when Leaving the University

Graduating & Canceling Tufts Health Plan Insurance:

Tufts Health Plan Cancellation Form, Fall 2009 for students in the School of Dental Medicine, the School of Medicine, the Friedman School of Nutrition Science and Policy, the Cummings School of Veterinary Medicine, and the Public Health & Professional Degree Programs.

Tufts Health Plan Cancellation Form and Payroll Deduction Form for students in the Sackler School of Biomedical Sciences.

Leaving the University Forms:

• Leave of Absence Keeping THP Contract Form
• Leave of Absence and Canceling THP Insurance Form
• Withdrawal/Dismissal and Canceling THP Insurance Form