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2008 ~ 2009 DSGHP Waiver Requirements

All active Dartmouth students are enrolled into the Dartmouth Student Group Health Plan (DSGHP) each academic year.  

To opt out of the Plan students must submit a completed waiver petition providing evidence of comparable health insurance coverage. Approved waiver petitions are valid for one academic year.  The deadline to submit completed waiver petitions for students starting Fall term is August 1.  For students starting Winter, Spring or Summer terms the deadline is the first day of the term.

The plan representative must indicate on the waiver petition the following conditions:

  1. The Plan provides coverage for urgently needed and medically necessary care in the Hanover, New Hampshire area. (Plans that only provide emergency coverage in the Hanover, NH area do not meet this requirement.)
  2. The Plan provides coverage for inpatient and outpatient mental health care and chemical/substance abuse treatment. Benefits include at least thirty (30) outpatient mental health visits in the Hanover, New Hampshire area.
  3. The maximum benefit for the coverage is $500,000 or more per plan year.
  4. The Plan will remain in force as long as the student remains active (including when on an approved leave of absence, leave term, or pending graduation) for the plan year beginning September 1, 2008 and ending August 31, 2009.
  5. The Plan is licensed to do business within the United States of America (USA), has a USA claims processor and USA telephone number.

All five conditions and the plan representative's signature must be provided at the start of the academic year for DSGHP enrollment to be waived.

Click Here for the Dartmouth Student Group Health Plan waiver petition.

 

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Last Updated: 4/16/08