Student Health Insurance Program (SHIP)

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Student Health Insurance Program
P.O. Box 444201
Moscow, ID 83844-4201
Phone: (208)885-2210
Fax: (208)885-1002
health@uidaho.edu

Student Health Insurance Program Office
Located in the Student Health Building Room 126
Please use University Avenue building entrance

SHIP Drop Box is at the end of the hall
Call 885-2210 or e-mail health@uidaho.edu
to schedule an appointment


	Important Links/Forms

Print Proof of Insurance Card--print each semester
After logging in Select the current term and follow the instructions.

2007-2008 SHIP Brochure

2008-2009 SHIP Brochure will be available in July.

Online SHIP Waiver/Enrollment Form--only available during open enrollment periods
Use this form to Enroll in Ship or Create a SHIP waiver. After logging in Select the current term and follow the instructions.
Printable SHIP Waiver/Enrollment Form Click here to print the SHIP Waiver/Enrollment form. Problems? click here.

SPECIAL FORMS
The forms below can be faxed to 208/885-1002;
mailed to PO Box 444201, Moscow ID 83844-4201;
or dropped off at the SHIP Office, Room 126 in the Student Health Building.
There is a SHIP Office Drop Box at the end of the hall if the office is not open.
Please use the University Avenue entrance to the building.

SHIP Qualified Late Enrollee Form--for students who have involuntarily lost employer sponsored health insurance or Medicaid. Documentation showing details of the qualifying event must be attached to the completed form and submitted within 30 days of loss of coverage.

SHIP Enrollment Exception Form--for students who do not meet the standard eligibility provisions for SHIP enrollment. Form must be completed at the beginning of each semester. Fall semester deadline: September 8. Spring semester deadline: February 7.

SHIP Dependent Enrollment Form--for SHIP enrolled students adding a dependent spouse or child to their SHIP coverage. Fall semester deadline: September 8. Spring semester deadline: February 7. For Dependent Qualified Late Enrollee deadlines contact SHIP office at 885-2210.

SHIP Dependent Disenrollment Form--for SHIP enrolled students removing a dependent spouse or child from their SHIP coverage. Fall semester deadline: September 8. Spring semester deadline: February 7.

Download 2006-2007 Student Health Program Brochure.

	How to File a Claim

You may submit medical expense billing and prescription receipts by fax or regular mail. No claim form is needed.

Submit claims to:
    Claims Administrator
    AmeriBen/IEC Group
    PO Box 7186
    Boise ID 83707
    Phone: 1-800-953-1801
    Fax: 208-424-0595

For faster claims processing, provide insured student's social security number and the UI Group #0805014.

Online Services: https://services.ameriben.com
You will need the UI Group #0805014 and your social security number to register the first time you log in.


Underwritten by: The MEGA Life and Health Insurance Company. Policy #2005-353-1.

SHIP Contact Information

Lori Krasselt, Student Benefits Specialist

Student Health Services Building, Room 126
Phone:   208-885-2210
Fax:      208-885-1002
Email:   health@uidaho.edu

Other Information and Links.......

In-Network Providers

Definiton of a dependent

Certificate of Insurance
2007-353-1

SHIP APPEAL FORM
Fax to 885-1002 or drop off at Student Health Bldg Rm 126

Moscow, ID 83844

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