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  • Wellness Rebate Weight Reduction Form - Slu

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T have a starting BMI of 30 or more documented via a Fitness Assessment or Vitality Check . The Program must include a series of in-person meetings attended by you, the Member. Online, or single-session programs or seminars are not eligible. The cost of medications, procedures and devices, food, program materials and nutritional supplements are not eligible. Section A Member Information First Name: Last Name: Vitality ID: Date of Birth: Section B: Program Information Program Name: Pr.

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Qualifying Life Event. Qualifying life events consist of both family changes and employment changes. Outside of open enrollment periods, you may be able to make benefit-election changes if a qualifying life event occurs. This is known as a special enrollment period.

If you choose to waive the UHP, you must go to .aetnastudenthealth.com/slu to submit a waiver request. Please have your insurance card and policy information available, as you will be asked specific questions about your insurance coverage.

In order to waive the Student Health Insurance Plan, students must complete the online waiver form with Blue Cross Blue Shield.

Consumers who went on HealthCare.gov, compared plans, and selected the plan that best fit their health and financial needs paid 38 percent less per month on average than the consumers whose plans were automatically renewed. Plans purchased on HealthCare.gov are comprehensive and guaranteed to cover the essentials.

To submit a waiver: Have your insurance card/information and your URI Student ID number on hand. Log into e-Campus. Select “URI Student Services” Select “Insurance Waiver” Follow the on-screen instructions.

It is important that you contact both the Marketplace and the health plan and let them know you no longer need coverage. In HealthCare.gov states, you can log into your Marketplace account, select the “terminate coverage” option, and enter the required information.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232