Coverage under the University Health Plan (UHP) is available to Saint Louis University School of Medicine Residents, Sub-specialty Residents and Fellows.
NOTE: In the beginning of the 2014-2015 academic year, the UHP will be transitioning administration of the plan's medical and prescription drug benefits to Aetna Student Health. Aetna Student Health will be assuming responsibility for identification card production, coverage verification, claims processing and prior-authorizations. This administrative transition will occur as members re-enroll within the 2014-2015 academic year.
Medical residents on-boarded June 16, 2014 enrolled on-line with Aetna. Medical residents on-boarding July 1, 2014 will also enroll on-line with Aetna. Medical Residents (and dependents) covered by UHP in FY 14 and continuing GME training in FY 15 have had their demographic information securely routed to Aetna.
Aetna will be routing Medical Resident identification cards to enrolled members. UHP expects a web based on-line card printing capability will be available early in July 2014.
Enrollment/Changes to Plan Elections: Eligible Residents, Sub-specialty Residents and Fellows and their dependent(s) must enroll or request changes to plan elections (i.e. drop coverage) during program orientation, during an Open Enrollment Period or during a Special Enrollment Period. Once enrolled, coverage will remain in effect until June 30th of one's program completion year or until one becomes ineligible for the plan.
Special Enrollment Periods are provided when a qualifying event occurs (i.e. loss of other coverage, or acquiring new dependents through marriage, birth, or adoption). If enrollment or plan election changes are not completed within 31 days of the qualifying event, the enrollment or plan election changes may not be made until the next Open Enrollment Period.
To enroll, Residents, Sub-specialty Residents and Fellows must provide a completed Enrollment Application Form to UHP representatives or to the UHP Office located in the School of Medicine, Caroline Building, Room C119.
Open Enrollment: Enrollment forms may be submitted in advance of Open Enrollment Periods. Upcoming Open Enrollment Periods for Residents, Sub-specialty Residents and Fellows include:
Summer 2014: May 18, 2014 - Jun 30, 2014
Spring 2014: Jan 01, 2014 - Feb 14, 2014
Continuation of Coverage: COBRA continuation coverage, which is a temporary extension of coverage under the plan, can become available to Residents, Sub-specialty Residents and Fellows when UHP coverage would otherwise end because of a qualifying event. Qualifying events include, but are not limited to, voluntary or involuntary termination of employment/contract for any reason other than the assistant's gross misconduct. COBRA election forms and rate information are mailed by the Saint Louis University Benefits Office upon contract termination.
Additional Assistance: For assistance with enrollment or plan election changes, School of Medicine Residents, Sub-specialty Residents and Fellows should contact the UHP Office at 314-977-5666. The fax number for the UHP Office is 314-977-5667.
For questions or concerns related to Medical Resident COBRA benefits and enrollment contact Saint Louis University Benefits at 314-977-2279.
For questions or concerns related to Medical Resident COBRA billing contact Sax Benefits Group at 314-822-6100.
Page Updated: 06/26/14