University of North Texas Health Science Center 2018-2019 Student Injury and Sickness Insurance Plan StudentResources Slide 1 of 20

Rates Annual Fall Semester $2600 $1197 $997 Student 07/17/2018– 07/16/2019 Fall Semester 07/17/2018– 12/31/2018 Student $2600 $1197 08/13/2018-8/12/2019 08/31/2018– 12/31/2018 $997 This plan is underwritten by UnitedHealthcare Insurance Company and is based on Policy #2018-203098-1 Domestic and #2018-203098-4 International. For a full description of coverage, including costs, benefits, exclusions, any reductions or limitations and terms under which the policy may be continued in force, log on to www.uhcsr.com/unt. Slide 2 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

Plan/Benefit Highlights • No Overall Maximum Per Insured Person, Per Policy Year for Covered Medical Expenses. • $500 Deductible Per Insured Person, Per Policy Year for Preferred Providers; $1000 Deductible Per Insured Person, Per Policy Year for Out-of-Network Providers. What’s a deductible? A “deductible” is the amount of money you must pay towards covered medical expenses before the insurance company pays. Slide 3 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

Plan/Benefit Highlights Covered Medical Expenses for Preferred Providers are payable at 80% of Preferred Allowance and Out-of-Network benefits are payable at 50% of Usual and Customary charges (all benefits are subject to satisfaction of the deductible, specific benefit limitations, maximums, and copays as described in the policy). Slide 4 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

Plan/Benefit Highlights Student Health Clinic Benefits Your deductible will be waived and benefits will be paid for 100% of Covered Medical Expenses incurred at the Student Health Clinic. Students paying the medical service fee are allowed access to providers for medical treatment. The following are covered at the Student Health and Wellness Center: under the Health Center's annual Pap coverage except as mandated: Chlamydia (STD), Thin Prep, Gonorrhea, RPR (Syphilis), H/H CBC, HIV testing, urinalysis with reflex to urine culture, and CMP or BMP (blood chemistry) an annual physical for men and women will cover the examination and lab work, including BMP or CMP, urinalysis with reflux to urine culture, STD testing and CBC; acne treatment (acne medications will be covered under the Prescription Drug benefits); All CDC recommended immunizations, including HPV and Bacterial Meningitis are covered (If not a PPACA mandated benefit, a $25 Copay is applicable); Immune Titers; Screening for Tb.  If the test result is positive, a 1-view chest x-ray to determine if contagious. TSH with reflux to T4 Needle stick/Face splash as a result of course work in a clinical setting will be paid as any other injury or sickness. Slide 5 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

Plan/Benefit Highlights UnitedHealthcare Global: Global Emergency Services Domestic students are covered when they are100 miles or more away from their campus or home address. International students are covered worldwide except in their home country. Slide 6 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

Plan/Benefit Highlights UnitedHealth Allies® • Included with every policy, the UnitedHealth Allies discount program typically saves members 5–50% on many health and wellness products and services. • Members save on dental and vision care, fitness club memberships, weight management programs, smoking cessation, massage therapy, and much more. The UnitedHealth Allies Discount Program is administered by HealthAllies, Inc., a discount medical plan organization. This discount program is not a qualified health plan under the Affordable Care Act. UnitedHealth Allies discount plan is NOT insurance. Slide 7 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

WAIVING COVERAGE Students who have comparable coverage as outlined on the Student Health Insurance website may waive the school sponsored plan by going to: https://unt.myahpcare.com Please allow 5-7 business days for waivers to be reflected on your student bill. Slide 8 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

ACCEPTING COVERAGE To accept school sponsored coverage, go to: www.unt.myahpcare.com 2018-203098-1 = Domestic Students 2018-203098-4 = International Students Slide 9 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

TURNING 26 THIS YEAR? Process the waiver (Unless you wish to have double insurance coverage) Contact health@unthsc.edu two weeks prior to losing your current coverage Complete the gap insurance form and return to health@unthsc.edu Charge will be placed on your tuition bill and coverage added for the requested dates. Slide 10 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

DEADLINE Students taking no action (waiver or activation) will be automatically enrolled in the health plan after the census date. Pharmacy August 28, 2018 DO-PA-PT July 31, 2018 GSBS- SPH September 4, 2018 *Census dates for each program may be found on the Registrar’s website under Academic Calendars. Slide 11 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

DEPENDENT COVERAGE Spouse and Dependent Children may be insured for the same coverage period as the student. Enrollment in and payment for dependent coverage is the sole responsibility of the student. Coverage can be added at any time. Visit www.uhcsr.com/unthsc for pricing and enrollment information. Slide 12 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

Optional Vision and Dental Coverage You do not have to be enrolled in the health plan to enroll in dental and/or vision coverage. Visit websites - Cigna Dental Coverage: https://cignaindividual.com/public/Quoting/Individual/ VSP Vision Coverage: https://www.individualbrokervision.com/Enroll/ to obtain pricing and enrollment information. Slide 13 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

Immunization Requirements Visit office of the registrar website for immunization requirements and checklist: https://www.unthsc.edu/students/registrar/immunization-requirements/ Meningitis Students who are 22 years old and younger*, will be required to provide documentation of a bacterial meningitis vaccination (or submit a waiver/exemption) by the deadline. The bacterial meningitis vaccination or booster must be administered within five years of the deadline. Records must be received by 5:00 PM 10 days before the first day of class. We will be evaluating compliance after the census date each semester. If you have not met requirements between that time and before registration for the next semester, you will have a hold placed on your account. The hold will only block initial registration for the subsequent semester. We will begin enforcing compliance using the Medicat system during the Fall 2018 semester. Slide 14 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

Questions? UnitedHealthcare StudentResources Phone: 866-429-4868 Email: customerservice@uhcsr.com Student Health Insurance Immunization Requirements Office of the Registrar Student Health Clinic Mayra Garcia Catrenia Thomas Phone: 817-735-2341 Phone: 817-735-5051 Email: health@unthsc.edu Email: studenthealth@unthsc.edu Slide 15 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group

Thank you, and welcome to…. Creating Solutions for a Healthier Community! Slide 16 of 20 Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group