Waiver

Waiver Deadlines


All registered UC Merced students are automatically enrolled in the campus sponsored UCSHIP Student Health Insurance Plan. UC Regents require: to have adequate health insurance. Registered domestic and international students and students registered in-absentia are automatically enrolled in UC SHIP.
Students who already have a health plan may apply to waive enrollment in UC SHIP. Here are the UC SHIP 2016-17 minimum waiver Criteria that you must meet.
Waiver Criteria (PDF)



Should I Waive? Learn more about Waiving

Are you considering waiving UCSHIP?

Students (and parents) should ask: Am I sufficiently covered to ensure my healthcare needs will be met?

Please consider the following:

  • Many insurance plans will only cover urgent care or emergency room services outside of the plan's network. Some insurance plans require that you visit their own network providers to receive care such as minor illnesses, lab tests, X-rays, or care by specialists, and in some cases such networks may not be available within a reachable distance from UC Merced where you will be spending most of your time while attending school.
  • See Waiver Checklist.
If you have private insurance coverage and do not wish to be enrolled in UCSHIP for the 2016-17 academic year, you will need to submit a waiver application by the stated deadlines. Failure to submit a waiver application by the deadline will result in you remaining enrolled in UCSHIP and being responsible for the charges posted to your student account.

The Spring 2016 Waiver Application period opens Monday, November 15th, 2016. Your Waiver Application must be filed online by 11:59 pm on January 3rd, 2017 to avoid a late waiver fee of $50.

Please be aware that paying the late fee does not guarantee that your late waiver will be approved. It only allows your waiver to be submitted late.

Absolutely no late Waivers Applications will be accepted after 12 Noon on Tuesday, January 17, 2016.

  • Once you have completed your UCSHIP waiver application, you will be immediately notified if your waiver application was approved or denied and you will be sent an email confirmation of the decision to your UC Merced email account.
  • If your waiver is denied, please follow the instructions on the denial page.
  • Please remember that it is the responsibility of the student to prove that a waiver application has been submitted and approved. It is recommended that you print a copy of your approval for your records.

  • Important

  • UC SHIP fees are charged to your student account each semester along with your registration fees. You will be required to pay these fees and will be covered by UC SHIP unless you have an approved waiver application on file with Insurance Services at the Student Health Center.
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    Insurance Coordinator

    Darcey Wiens

    Address:
    H. Rajender Reddy Health Center
    5200 North Lake Road
    Merced, CA 95343
    Hours: Mon-Fri 9 am to 4 pm
    waiver@ucmerced.edu
    Phone: (209) 228-4876
    Fax: (209) 228-7650
    Important Waiver Notice

    UC Merced requires that all students have a primary care provider within 55 miles of their school address (on or off campus). Many students with Medi-Cal, or HMO insurance cannot meet this require­ment. If you cannot identify a provider within this 55 mile radius, you may not qualify to waive UCSHIP.

    Students with an HMO: Before waiving UC SHIP, please note that HMO plans only covers you for medical care from your designated primary care provider or upon referral from that office. It is not automatically a portable plan. In order to seek non-emergency care in Merced County using an HMO plan, the student must select a new doctor in our area and transfer their care to that person. Please contact your insurance company to change your Primary Care Provider (PCP) to one in Merced.

    Students with Medi-Cal: Contact your case worker back home or have mom or dad do it. You will need them to contact your case worker to let them know you are attending college in Merced at UC Merced. You will need to update your physical address to where you are living in Merced (house, apt., dorm). This will take you out of your current county plan and put you in the Merced County health plan. This will not affect your parents and it is only temporary. You still remain under your parents case. This will allow you to seek services in the Merced area and not just receive emergency care as long as you have full coverage Medi-Cal. This will help you meet the criteria to waive out of the UC insurance plan if you follow through with all requirements.
    Access to Medi-cal Benefits for College Students (PDF)

    Review your options carefully. UC SHIP is a low-cost, comprehensive package designed to provide students with medical coverage anywhere in the world. Only UC SHIP offers UC Family network discounts for students to receive care at UC hospitals, affiliated facilities and professional providers. Dental and vision are part of the UC SHIP package.

    Waiver Checklist

    To waive out of UCSHIP, follow the checklist:
    • Review the insurance and waiver page and decide if you are waiving. Step 1
    • Review the Waiver Criteria (PDF) to see if you meet the requirements. Step 2
    • Please complete the Waiver Worksheet (PDF) and review the Glossary of Medical Insurance Terminology (PDF) to ensure you have all the information you need prior to starting the process. Step 3
    • If waiving, file your application online by 11:59 pm on Tuesday, January 3, 2017. Make sure you have: an active UCMNet ID and password and benefit details about your health insurance plan, including the company name, phone number, group number and your UCM student identification number. Your waiver is available through the UC Merced Portal: Student Health Waiver Step 4
    • Print a copy of your approval for your records, you will also receive an e-mail confirmation. Step 5
    How To File An Appeal

    If you applied for a waiver and your waiver application was denied, you may appeal the decision in writing. Please read all of the instructions below before filing an Appeal: If your Waiver Application was denied because you missed the waiver application deadline, DO NOT FILE AN APPEAL.

    Appeals will not be considered for students missing the waiver deadline.

    Your appeal must be submitted to the Insurance office at the Student Health Center within seven (7) days of the date of notice of denial. Appeals received after the seven-day grace period will not be considered. Appeals will be considered for the current term only. Waivers granted on Appeal will NOT be applied to any previous term. Failure to complete the entire Appeal of Waiver Denial form, or to provide appropriate documentation, will result in your appeal being denied. You will remain enrolled in UCSHIP for the appropriate semester and be responsible for all UCSHIP fees.

    Evaluation of your Appeal will be based on comparability insurance guidelines in effect at the time of the original Waiver Application.

    Required Documents to File an Appeal of Waiver Denial

    1. Attach copy of Waiver Denial Notice.
    2. Attach copy of front and back of current insurance card.
    3. Attach copy of the Complete Insurance Benefit Summary (this can be found online at your insurance company’s website by making a user name and password login or by calling your insurance company).
    No action will be taken on your Appeal without all of the above attachments.


    Communication regarding the status of your Waiver Appeal will be sent to your UC Merced email address.

    Please only submit your Waiver Appeal 1 time. Once we receive your Appeal we will send an email confirmation.

    If you still want to file an appeal of waiver denial, download the UC SHIP Appeal of Waiver Denial form and submit the completed form to Insurance Office at the Student Health Center within seven (7) days of the date you received the notice of your waiver denial.

    Submitting an appeal can be done by mail, fax or email:

    Insurance Coordinator
    H. Rajender Reddy Health Center
    University of California, Merced
    5200 N. Lake Rd.
    Merced, CA 95343
    Fax- 209-228-7650
    Email- waiver@ucmerced.edu

    Disclaimer: Submission of an appeal is not a guarantee of an approval