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Mailing Address Cleveland State University Center for International Services and Programs 2121 Euclid Avenue Cleveland, OH 44115-2214 Campus Location Keith Building, Room 1150 1621 Euclid Avenue Phone: 216.687.3910 Fax: 216.687.3965 cispcsu@csuohio.edu Web Content Contact Natkamol Tayarachakul n.tayarachakul@csuohio.edu Web Technical Contact d.arthur91@csuohio.edu |
Health Insurance WaiverWaivers from the University health care policy are limited to: A. Students sponsored by the U.S.Government, their home country, or a non- governmental organization (such as the UN) which as a part of the scholarship provides health insurance. B. Students who have coverage through a parent's work, a spouse's work, or their work. (Must submit statement that medical expenses will be covered while in the U.S. and policy must include Repatriation Coverage of $10,000 and Medical Evacuation Coverage of $15,000). C. Students presently insured with a U.S. health insurance company receiving benefits due to an ongoing illness or accident. (Must provide proof that you have a need to stay with that company and policy must include Repatriation Coverage of $10,000 and Medical Evacuation Coverage of $15,000). THE POLICY MUST ALSO MEET THE CSU REQUIREMENTS STATED ON THE HEALTH INSURANCE VERIFICATION FORM AND BE SUBMITTED BEFORE DEADLINE. A new Health Insurance Verification Form must be filled out each academic year you wish to waive. Students who fail to fill out a new form academic year will be charged for the University's Health Insurance policy. To Decline coverage under the Student Health Insurance Plan and avoid the charge to your account, you must:
Download Health Insurance
Verification Form
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Cleveland State University • 2121 Euclid Avenue, Cleveland, OH 44115-2214 • 216.687.2000
This page last modified Thursday, April 24, 2008
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