| THE JOSEPH B. TRAINER STUDENT HEALTH SERVICE | ||||||
| Baird Hall 18, Phone (503) 494-8665 | ||||||
| Student in School: Coverage effective on the 1st day of month your classes begin. | ||||||
| Based on Academic Year, some individuals may be insured for more than 12 months. | ||||||
| (Distance Learners did not elect Dental/Vision benefits for the 2007-08 Academic Year) | ||||||
| Academic Year 2007-2008 DISTANCE LEARNERS fees for major medical insurance | ||||||
| through ODS Companies; based on number of months of coverage each term. | ||||||
| FOR: SON Ashland, Klamath Falls & LaGrande | ||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | ||||||
| Student Only | Spouse or DP | Child(ren) | Family | |||
| Fall (4 months) | Premium for September - December 2007 | |||||
| Major Medical | $1,003.88 | $1,154.48 | $652.52 | $1,907.36 | ||
| Winter (3 months) | Premium for January - March 2008 | |||||
| Major Medical | $752.91 | $865.86 | $489.39 | $1,430.52 | ||
| Spring (3 months) | Premium for April - June 2008 | |||||
| Major Medical | $752.91 | $865.86 | $489.39 | $1,430.52 | ||
| Summer (months TBD) | Premium for July - August or September 2008 (Academic Calendar TBD) | |||||
| Major Medical | TBD | TBD | TBD | TBD | ||
| Academic Year 2007-2008 CONTINUATION fees for major medical insurance | ||||||
| through ODS Companies; based on number of months coverage is elected. | ||||||
| FOR: Students extending (Continuation) coverage when leaving OHSU | ||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | ||||||
| 3 months | Student Only | Spouse or DP | Child(ren) | Family | ||
| Major Medical | $1,350.00 | $1,552.50 | $877.50 | $2,565.00 | ||
| 6 months | ||||||
| Major Medical | $2,700.00 | $3,105.00 | $1,755.00 | $5,130.00 | ||
| 9 months | ||||||
| Major Medical | $4,050.00 | $4,657.50 | $2,632.50 | $7,695.00 | ||
| 12 months | ||||||
| Major Medical | $5,400.00 | $6,210.00 | $3,510.00 | $10,260.00 | ||
| Terms Used: DP = Domestic Partner; Child(ren) = one or multiple children, all insured for one premium | ||||||
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