Get Rice University J Exchange Visitor Insurance Verification Form For J Exchange Visitors

Completing the Rice University J Exchange Visitor Insurance Verification Form online is an essential step for J Exchange Visitors to ensure compliance with health insurance requirements. This guide will provide clear and supportive instructions to help you navigate each section of the form effectively.

Follow the steps to complete the form accurately

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Enter your last name and first name in the designated fields. It is important to print clearly to avoid any issues with your submission.
3. Fill in your date of birth in the format MM/DD/YYYY and include your Employee/Visitor ID number, either E or V, as applicable.
4. Provide your email address and your phone number, inclusive of the country code, to ensure clear communication.
5. Select the appropriate insurance policy option that applies to you: your own policy, your spouse's policy, or your child’s policy. If selecting a dependent's policy, provide their last and first name in the specified areas.
6. Confirm that your insurance remains active throughout the duration of your J-1 Exchange Program at Rice University. You must also agree to maintain health insurance that meets both the U.S. Department of State’s minimum coverage requirements and the Affordable Care Act requirements.
7. Attest to the accuracy of the information provided in the form, clarifying understanding of the consequences of providing false information.
8. Sign and date the form where indicated to validate your submission. Make sure your signature is clear.
9. Once completed, review the information for accuracy before proceeding to save, download, print, or share the form as required.

Complete your documents online to ensure compliance and maintain your J Exchange Visitor status.