GatorGradCare

Plan Information

GatorGradCare health insurance is available exclusively to Graduate Assistants, Teaching Assistants, and Research Assistants on appointment (.25 FTE or greater) at the University of Florida.

Enrollment is not automatic. Plan participants must re-enroll by the enrollment deadline September 14 to continue coverage each academic year they are eligible for coverage.

GatorGradCare plan information can be found online here: http://gatorcare.org/gatorgradcare

General GatorCare information can be found online here: http://gatorcare.org

  • Medical Benefits Administration: Florida Blue
  • Pharmacy Benefits: Magellan Pharmacy Solutions
  • Plan Name: GatorGradCare
  • Group Number: 78358
  • Dental Benefits (pdf document)

Participant Eligibility Requirements

University of Florida graduate assistants, teaching assistants, and research assistants appointed .25 FTE or greater may participate in the GatorGradCare health insurance plan.

To ensure that graduate assistants meet the above eligibility criteria, hiring departments must ensure the following:

  • The GA, TA, or RA appointment must occur via the Letter of Appointment (LOA) process in PeopleSoft, and all Letter of Appointment criteria met
    • Active GA, TA or RA job with .25 or greater FTE entered in PeopleSoft AND
    • Active LOA entered in PeopleSoft
  • The student receives a stipend as a bi-weekly paycheck from the appropriate UF account

Students’ eligibility for GatorGradCare is reviewed before their coverage is loaded with the insurance company. This process begins after drop/add. Students will receive an eligibility confirmation email notice once verification has been completed.

If a student experiences a medical emergency before their eligibility is confirmed, they may contact the GA Benefits Office at (352) 392-0003 or by email gabenefits@admin.ufl.edu.

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Enrollment

Enrollment is not automatic; students must enroll in GatorGradCare each academic year.

The online enrollment can be found here: https://bluebiz.bcbsfl.com/stuenroll/GatorGradCare.do

Enrollment Deadlines
Eligible students may enroll in GatorGradCare during the specified enrollment periods only.

The enrollment deadlines for the plan are as follows:

Coverage Period Enrollment Deadline
Annual Enrollment September 14
Spring/Summer Enrollment January 30
Summer Only Enrollment May 16

No enrollments can be accepted after the enrollment deadline.

Students who miss the GatorGradCare enrollment deadline or are not eligible for GatorGradCare can purchase the UF Student Insurance Plan available through UnitedHealthcare StudentResources. Enrollment in the UF Student Insurance Plan can be submitted only during the designated enrollment periods each academic term. For more information regarding the Student Insurance Plan, please contact the local servicing agent, Scarborough Company Insurance, at (352) 377-2002.

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Confirmation Email
Students should retain the INSURANCE REQUEST CONFIRMATION that is received after successfully completing the online GatorGradCare enrollment process in order to track their GatorGradCare enrollment submissions.

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Effective Dates of Coverage

The GatorGradCare coverage effective dates are as follows:

Coverage Period Effective Date
Annual August 16
Spring/Summer January 1
Summer Only May 16

The GatorGradCare policy year terminates midnight August 15. Please note the following important information regarding GatorGradCare coverage effective dates:

  • If you submit an annual enrollment and are only eligible for the plan for the fall, your coverage will terminate February 1.
  • If you submit an annual or spring/summer enrollment and meet the eligibility requirements for the plan for the entire spring term, your coverage continues through the summer regardless of your eligibility status in summer term. The premium for summer coverage will be paid on the student’s behalf, regardless of eligibility status in the summer term.
  • Coverage will automatically terminate prior to the termination dates noted above if any of the following occurs:

If the participant loses his/her eligibility status the GatorGradCare coverage will terminate at the end of the month in which the participant loses his/her eligibility status.

If the participant enrolls in another UF-sponsored health insurance plan, the GatorGradCare coverage termination date may be adjusted to coordinate with the effective date of the new UF-sponsored plan.

IMPORTANT: Plan participants must re-enroll by the September 14 enrollment deadline to continue coverage each academic year they are eligible for coverage. ENROLLMENT IS NOT AUTOMATIC. Elections made during Fall Annual Enrollment are effective August 16.

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ID Cards

ID cards are mailed to your local home mailing address and arrive about 2 weeks after your coverage is loaded for the first time with Florida Blue. Please note the following:

  • Florida Blue does not issue separate ID cards for dependents covered under your insurance plan. You will receive two ID cards under your name and dependents will use your insurance card information. When providers or pharmacies call Florida Blue, they will be able to confirm your covered dependents.
  • You may order additional cards or print a temporary card after you create an online account at www.floridablue.com. See the section entitled “Creating Your Online Account With Florida Blue” for information regarding creating your online account.
  • Please notify gabenefits@admin.ufl.edu if your mailing address needs to be updated.

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Creating Your Online Account with Florida Blue

You will be able to view claim details, order additional ID cards, and print temporary ID cards online at www.floridablue.com by logging in to MyBlueService after you have created your online account.

You must have your member ID number in order to create your online account
. The member ID will be available through Florida Blue Customer Service within a few days after your eligibility is confirmed by the University of Florida. You can obtain your member ID number by contacting Florida Blue Customer Service at (800) 664-5295.

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Costs

The eligible graduate student’s premium for GatorGradCare is paid by the University of Florida.
The GatorGradCare student premium is $2,657 for the 2016-2017 policy year.

Departments will need to use the appropriate Fringe Benefit Pool Rate to budget for GA benefit costs.

Students who include coverage for their dependent(s) on their online enrollment are responsible for the dependent premium. Please see the section entitled “Dependent Coverage” for additional information.

2016-2017 Annual GatorGradCare Dependent Premiums (effective 8/16/16 to 8/15/17)
Spouse/Partner $2,783
Child(ren) $2,528
Family (Spouse/Partner +Child(ren)) $5,311

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Dependent Coverage

Enrollees may select dependent coverage at the time of enrollment. Eligible dependents include the eligible student’s spouse or domestic partner and dependent child(ren) up to 26 years of age.

The premium (cost of insurance) for dependents is shown on the online enrollment and is the student’s responsibility. The dependent premium is charged to the student’s financial account as shown on the online enrollment.

All elections on the online enrollment are final. Changes to dependent coverage level can be made only if there is a qualifying event. Please see the “Qualifying Status Change” section below for additional information.

 

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Qualifying Status Changes

Outside of the initial enrollment submission for GatorGradCare, plan participants may make a change to the plan coverage level only if they experience a qualifying status change (QSC.)

Plan participants are responsible for reporting any qualifying status events and submitting the appropriate documents to GA Benefits Office within 60 days of the event. Qualifying status events include the following changes in family or employment status including the following:

  • Birth, adoption, or legal guardianship
  • Marriage
  • Divorce
  • Death of spouse or dependent
  • Gaining/Losing other group health insurance

If adding dependent coverage based on a QSC the change to your coverage level is effective on the qualifying event date. If removing dependent coverage based on a QSC, the change to the coverage level is effective on the first of the month following the qualifying event date.

The enrollment form and supporting documentation for the qualifying event must be provided to the GA Benefits Office within 60 days of the event date.

The premiums for adding dependent coverage based on a QSC are the student’s responsibility. The premium is calculated based on the effective date of coverage and will be charged to the student financial account. No refunds are granted for termination of dependent coverage based on a QSC.

Contact the GA Benefits Office at (352) 392-0003 or gabenefits@admin.ufl.edu to report a qualifying status change.

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Use of the Student Health Care Center (SHCC)

It is recommended that students covered by the GatorGradCare Health Plan contact the Student Health Care Center first for routine medical services. The Student Health Care Center does have a pharmacy.

There is no referral requirement under the plan and you are not required to utilize the Student Health Care Center.

The Student Health Care Center phone number is (352) 392-1161 and their website can be found here: http://shcc.ufl.edu/

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Mandatory Health Insurance (MHI) Information

If you are eligible and enroll in GatorGradCare, this coverage meets the UF mandatory health insurance requirement. You do not need to do anything else after submitting the GatorGradCare enrollment through the enrollment site and agreeing to the mandatory health insurance requirement policy through your student account.

Because of the timing, you will see the charge for the school-sponsored plan on your student financial account until GatorGradCare eligibility is confirmed. You should not pay this charge or complete the MHI waiver because the MHI charge will be removed once your GatorGradCare eligibility is confirmed after the drop/add period.

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Address Changes

Promptly notify the GA Benefits Office of any changes to your mailing address by emailing gabenefits@admin.ufl.edu.

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COBRA—Continuation of Coverage After Termination

Once your GatorGradCare Health Insurance terminates, Florida Blue will send a COBRA packet to you by postal mail.

COBRA (Consolidated Omnibus Budget Reconciliation Act) is a federally mandated program that allows you to continue your medical benefit at your expense based on the following qualifying events:

  • Termination of employment (for reasons other than gross misconduct)
  • Divorce or legal separation
  • Employee’s death (for eligible dependents)
  • Covered employee becomes eligible for Medicare
  • Child ceases to be eligible for coverage under the plans

If your mailing address has changed, please email gabenefits@admin.ufl.edu immediately with your UFID and new address to ensure timely delivery of important insurance information.

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Contact Information

For questions regarding plan coverage or claims please call Florida Blue Customer Service at (800) 664-5295. (This is the telephone number on the back of your insurance ID card.)

For local assistance with questions regarding plan coverage, you may contact Leslie Florence, the Gainesville Florida Blue GatorCare liaison, at leslie.florence@floridablue.com, or by phone at (352) 594-3354.

To locate GatorCare providers, please check http://gatorcare.org/network or call (352) 265-UFMD (8363).

For assistance with enrollment and eligibility questions, qualifying status changes, and mailing address changes, please contact the GA Benefits Office at (352) 392-0003 or email gabenefits@admin.ufl.edu.

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