FAQs About Insurance & Billing

lmu shs insurance billing faq

Who underwrites the University Endorsed Student Health Insurance Plan?

The Aetna Student Health Plan is underwritten by Aetna Life Insurance Company and is administered by Chickering Claims Administrators, Inc.

Am I required to have health Insurance?

All full-time students, enrolled in seven (7) semester hours or more are required to have health insurance. Full-time students are automatically enrolled in the Student Health Insurance Plan. However, students may waive out of the Student Health Insurance Plan, if they have comparative health insurance coverage.

How do I waive out of the University endorsed insurance program?

To waive out of the University Endorsed Student Health Insurance Plan, please visit Aetna Student Health, select your school (Loyola Marymount University or Law School), then follow the process to request a waiver.

Is there a deadline to waive out of the University Endorsed Student Health Insurance Plan?

Yes, there is a deadline. Please see below:

Category

Wavier Deadline Date

Students enrolling for the Fall Semester

10/07/16

Students enrolling for the Spring Semester

02/03/17

What is the term for coverage for the University Endorsed health insurance plan?

The term coverage for insured students entering in the Fall Semester is from August 1, 2016 through July 31, 2017. For new students entering the university in the Spring Semester, the term coverage is from January 1, 2017 through July 31, 2017 or from dates that the insurance is purchased.

Is there a separate accident plan?

Yes, there is a separate mandatory accident plan for full time students. Students cannot waive out of this plan, except for those students who have purchased the University endorsed student health plan. The mandatory accident plan is administered by A-G Administrators, Inc. Plan management and brokerage services are provided by Mercer Health & Benefits, LLC, and is underwritten by QBE Insurance Corporation. The Master Policy may be viewed by request at the Office of Risk Management, University Hall, 4900, during business hours.

Once I enroll, can I see any doctor and be covered by the plan?

No, only services from in network preferred providers are covered. This means the plan pays benefits only when you see a provider who is part of the Aetna network of preferred providers. However, non-preferred provider services for emergencies, ambulance, and accidental dental injuries are covered.

Providers include doctors, hospitals, laboratories and pharmacies.

To find a preferred provider:

1. Go to Aetna Student Health

2. Select your school (Loyola Marymount University or Law School)

3. Click “Find a doctor, hospital or pharmacy” in the orange box on the left

4. Follow the remaining instructions

If you’re reading this online, you can go directly to Aetna’s DocFind tool.

What is the cost of the University Endorsed Student Health Insurance Plan cost?

Accident and Sickness Plan Rates

Coverage

Annual
8/1/16

Spring
1/1/17 – 7/31/17

Student

$2,251

$1,310

Source: Aetna Life Insurance Company Academic Year 2016-17 University Endorsed Student Health Insurance Plan LMU/LA Loyola Marymount University Policy Number 474945

Additional Resources

If you have questions about the benefit plan or about waivers, please contact Aetna Student Health or call (877) 409-7356.

If you have any questions regarding the Aetna Student Health Insurance Master Plan, please review the Office of Risk Management policy or contact Doug Moore, Risk Manager, at (310) 338-3071.