ran0%6 ‘Aetna Student Healtn> Waiver Apdlicaton Comtemation aetna’ custamersenvice Lasout Step 6 Your waiver has been submitted Details of your waiver transaction are available below. Print the confirmation Your waiver application has been submitted. Please see the confirmation below. Insurance waiver verification pending Dear Dhruv, Ilinois Institute of Technology is committed to ensuring that all students have adequate coverage while in school both to protect against unexpected high medical costs and to provide access to quality care while they are at schoo! or traveling abroad. In order to maintain that commitment, the school has requested further review of your existing insurance coverage. If Ilinois Institute of Technology determines that your current insurance coverage does not meet their waiver criteria, you will be enrolled in the Illinois Institute of Technology Student Insurance Plan What happens next? Your coverage will be reviewed to ensure it meets the student health insurance requirement at illinois Institute of Technology. Your coverage will be reviewed to ensure it meets the student health insurance requirement at Illinois Institute of Technology. You will be notified via the e-mail provided in Step 5 once this takes place. If your insurance plan is verified and meets the school insurance requirement, you will receive confirmation that your waiver has been accepted to the email address listed. If your insurance plan cannot be verified or does not meet the school insurance requirement, you will be Notified. This process takes approximately two weeks. Transaction Number: 3281745 Transaction Date: 8/20/2016 If you have any questions, please feel free to contact Aetna Student Health at 1-800-841-3140 or Illinois Institute of Technology Student Health and Wellness Insurance Center (student health@iit.edu). Sincerely, Student Health and Wellness Insurance Administrator Illinois Institute of Technology Waiver submissions may be reviewed by Illinois Institute of Technology, or its insurance carrier, and/or their contractors or representatives. You may be required to provide, upon request, any coverage documents and/or other records npevistuents, aotnastudertheath com vaiver-cnfrmaton aspx ouplO=72452ran0%6 ‘Aetna Student Healtn> Waiver Apdlicaton Comtemation demonstrating that you meet the school's requirements for waiving the student health insurance plan, By submitting the waiver request, you agree that your current insurance plan may be contacted for confirmation that your coverage is in force for the applicable policy year and that it meets the school's waiver requirements. You also agree that we may provide other insurance plans with information regarding your waiver of the student health insurance plan, based on your representations that you are enrolled in another insurance plan's benefit plan. PLEASE DO NOT REPLY TO THIS EMAIL. View Less Home Web Privacy Statement Legal Statement Privacy Notices Member Disclosure Legal Notices Find a Doctor or Hospital 177 South Bedford Street urlington, MA 01803. Aetna Student Health Agency Inc. Isa duly licensed broker for student accident and health insurance inthe Commonwealth of Massachusetts, Massachusetts license number: 10042446. California license number: 0884598, ‘Aetna Student Health®™ is the brand name for products and services provided by ‘Aetna Life Insurance Company and its applicable affated companies (Aetna). Fully insured student health insurance plans are underwritten by Aetna Life insurance Company, Self insured plans are funded by the applicable schoo, with claims administration services provided by Aetna Life Insurance Company. Norton [SECURED npevistuents, aotnastudertheath com vaiver-cnfrmaton aspx ouplO=72452