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Dartmouth Student Group Health Plan (DSGHP)

Attention New Students

Don't forget your required pre-matriculation health requirements! Available at http://www.dartmouth.edu/~health/resources/incoming/.  These need to be completed even if you waive DSGHP enrollment.

2009-2010 Insurance Waiver Process

Dartmouth College requires all active students, including students not taking classes or on a leave term, to have health insurance meeting specified standards of coverage. To this end, all active Dartmouth students are automatically enrolled in the Dartmouth Student Group Health Plan (DSGHP) each September 1st, and the related fee is billed to their student account in August. To waive enrollment in the DSGHP, a student must submit a new, completed waiver petition each academic year. If a completed waiver application is received by August 1st, a student's enrollment in the DSGHP will be cancelled, and a credit will be given for the fee charged.  Click here for the 2009 - 2010 waiver requirements.

Waiver Acknowledgements
All Insurance Waiver petitions will be acknowledged in two ways.
1. An email will be sent to the student's Dartmouth College email account known as Blitz mail and/or;
2. A Letter will be mailed to the student's permit address listed in Banner.

The deadline to submit completed waiver petitions is August 1, 2009, however, early waiver submission is highly recommended.

2009-2010 DSGHP Coverage Information

Period Of Coverage (Plan Year)

Effective:  September 1, 2009
Termination:  August 31, 2010

Fees (Dependent fees are in addition to the student fee.)

Student:  $1,786.00
1 Dependent:  $2,973.00
2 Or More Dependents:  $4,171.00

NOTE: A new dependent application needs to be submitted for each plan year, dependent re-enrollment is not automatic.  The deadline for enrolling dependents for the 2009-2010 plan year is September 1, 2009.  However, we strongly recommend that you submit a completed DSGHP dependent application by August 1, 2009 to insure that coverage will be activated and ready to use on September 1, 2009.

DSGHP Claim Forms

All forms and brochures require Acrobat Reader

Contact US

  • Phone: (603) 646-9438 or (603) 646-9439
  • Fax:    (603) 646-9450
  • Email: Dartmouth.Student.Health.Plan@dartmouth.edu
  • Hours: Monday - Friday, 8:00 AM - 4:15 PM; CLOSED from 12:00 noon - 1:00 PM
  • Location: Rooms 111 and 112 at 5 Rope Ferry Road, Hanover NH 03755
  • Campus Address:  HB# 6143

Health Plan Coverage For Dartmouth Students

The DSGHP benefit program is designed to complement services available through the Dartmouth College Health Service. Spouses and domestic partners covered in the DSGHP Family Plan may use the Primary Care services at Dick's House.

Some features of the Dartmouth Student Group Health Plan, which may not be in your insurance plan, include:

  • Coordination of services by Health Service staff who know Dartmouth students
  • Coverage for injuries sustained in Intercollegiate or club sports
  • Family plan coverage for students with dependents
  • First Dollar Benefits for eligible Health Service expenses
  • Major Medical Benefits for hospitalization and physician services
  • Prescription Drug Benefits on campus and nationally through the Medco Health Network
  • Preferred Provider Network includes the Dartmouth-Hitchcock Medical Center
  • No Waiting Period or Pre-existing Condition exclusions
  • On Campus Assistance with enrollment and claim submission
  • Special Outpatient mental health benefits
  • World-wide coverage

(This brief summary does not constitute a promise of benefits on behalf of the Plan or Dartmouth College. Please see the Plan Document for a complete description of benefits, limitations, exclusions and special provisions.)

 

Last Updated: 10/20/09