During open enrollment, students can purchase medical coverage for family members through the MIT Student Health Plan. Family members include a spouse, spousal equivalent partner, unmarried dependent children under 25 years of age, and dependent children of covered, unmarried dependents. By enrolling your family members in the Student Medical Plan they'll be able to access most of our clinical services here at MIT Medical for no additional charge.

You may also enroll you family members in the Student Extended Insurance Plan, which provides coverage for services outside of MIT Medical, such as emergency room visits, hospitalizations, and prescription drugs. Together the MIT Student Medical Plan and the Student Extended Insurance Plan provide benefits for most services. Please note, that family members must be enrolled in the Student medical Plan in order to be eligible to enroll in the Student Extended Insurance Plan.

To purchase coverage for your family members, simply complete and send us the Student Enrollment Form 2007-2008.

Enrollment Policy

MIT Student Extended Insurance Plan

Automatic enrollment
All regular students, and special students registered for 27 or more units, are automatically enrolled in and billed through Student Financial Services for individual membership in the MIT Student Extended Insurance Plan. An individual membership includes the student only.

How do I enroll family members?
A family membership includes the student, partner, all unmarried dependent children up to 25 years of age, and dependent children of covered, unmarried dependents.

If you want to purchase coverage for your family, you must complete this Enrollment Form. The minimum coverage period for each family member is three months. A signed affidavit must be submitted when enrolling a spousal equivalent.

If you are purchasing coverage for a spousal equivalent partner, you will need to complete an Affadavit of Spousal Equivalent Partnership form.

When is the family enrollment deadline?
Your request for family enrollment in the MIT Student Extended Insurance Plan must be received by September 30 for Fall Term or February 28 for Spring Term. You must complete a new Enrollment Form at the beginning of each academic year or term.

After these deadlines, you can enroll your family only if:

• You marry and want coverage for your spouse
• Your partner terminates employment and loses coverage
• Your partner and/or dependents arrive from another country for the first time
• Your baby is born. Please contact us and complete an enrollment form before the month the baby is expected. When the baby is born contact us within 30 days to tell us the name and date of birth. Coverage will begin as of the first of the month in which the baby is born.

We will ask you to document these circumstances before accepting your family enrollment. When accepted, coverage will begin on the first of the month in which you were no longer insured. You must submit an enrollment form within 30 days of this life change.

Can I cancel?
Once the three-month minimum coverage period has passed, you may cancel your partner and/or dependents from your plan and resume an individual membership before the beginning of the next term only if:

• Your partner gains employment and can purchase the employer's coverage. Be sure to verify the actual beginning date of that coverage.

We will ask you to document this circumstance before accepting your cancellation request. You must this submit your cancellation request within 30 days of this life change.

Subscriber enrollment may only be cancelled at the end of a term, effective the beginning of the next term.

MIT Student Medical Plan

Automatic enrollment
All regular and special students are automatically members of the MIT Student Medical Plan, which is FREE with tuition.

How do I enroll family members?
Partners and children of students may use MIT Medical by paying for each visit, or they can join the MIT Student Medical Plan. To enroll, you must complete the MIT Student Medical Plan section on this form and provide evidence that your spouse and/or children are also enrolled in an insurance plan comparable to the MIT Student Extended Insurance Plan.

When is the family enrollment deadline?
Family enrollment deadlines for the MIT Student Medical Plan are the same as for the MIT Student Extended Insurance Plan described above. See exceptions to these deadlines listed above in the "When is the Family Enrollment Deadline?" section of the MIT Student Extended Insurance Plan policy.

Can I cancel?
After enrolling, the earliest you can cancel your partner and/or dependents from the MIT Student Medical Plan and resume an individual membership is the beginning of the next term. Your cancellation request form must be received by the enrollment deadline for that term.