Mandatory Health Insurance Requirements

The Board of Trustees of the California State University (CSU) requires all F-1 international students to have health insurance as a condition of registration and continued enrollment in the California State University system. 

Current Spring 2019 students will receive two International Health Insurance Holds: Summer 2019 Insurance Hold and Fall 2019 Insurance Hold.

If you plan to enroll in any summer units (regardless of in class or online courses), you must purchase SF State insurance to clear your Summer Insurance Hold. If you do not enroll in any summer units, you do not need to purchase summer insurance to clear the Summer Insurance Hold. Your Summer Insurance Hold will not prevent you from registering for the Fall 2019 semester. You must clear your Fall Insurance hold in order to register for Fall 2019 courses.

Mandatory Health Insurance Requirements

F-1 International students are required to satisfy the insurance requirement through purchase of the SF State sponsored insurance offered by Relation at http://www.4studenthealth.com/isfsu.  No other insurance policies will be accepted as a substitute for the one sponsored by SF State. Insurance coverage must be purchased and renewed each semester/year. 

Annual Plan Fall Plan Spring Plan Summer Plan
August 10 to August 9 (the following year) August 10 to December 31 January 1 - May 31 June 1 - August 9
There are two exceptions:
  • Students on a government-sponsored scholarship which provides compatible insurance coverage as a part of the sponsorship.
  • Students receiving insurance coverage through an employer-sponsored plan in the United States (i.e. receipt of insurance is a part of the U.S. employment compensation through your spouse).
You must clear the “International Health Insurance Hold” before you can enroll in courses for an upcoming semester.  To clear the hold, you can purchase the insurance plan for the upcoming semester at http://www.4studenthealth.com/isfsu.  Allow at least 2 business days (not including weekends) for the hold to be cleared by the Registrar's Office. It is not necessary to provide the proof of purchase to the Office of International Programs.
 

Current Spring 2019 students will receive two International Health Insurance Holds: Summer 2019 Insurance Hold and Fall 2019 Insurance Hold.

If you plan to enroll in any summer units (regardless of in class or online courses), you must purchase SF State insurance to clear your Summer Insurance Hold. If you do not enroll in any summer units, you do not need to purchase summer insurance to clear the Summer Insurance Hold. Your Summer Insurance Hold will not prevent you from registering for the Fall 2019 semester. You must clear your Fall Insurance hold in order to register for Fall 2019 courses.

Students on a government-sponsored scholarship which provides compatible insurance coverage as a part of the sponsorship should e-mail a proof of government scholarship that includes reference to your health insurance to OIP at f1@sfsu.edu

Students receiving insurance coverage through an employer-sponsored plan in the United States (i.e. receipt of insurance is a part of the U.S. employment compensation through your spouse) should contact Ms. Wendy Lopez, Administrative Analyst, Enterprise Risk Management, at wendyl@sfsu.edu, for instruction to clear the insurance hold. Include your full-name and SF State ID in your e-mail.

Students on Post-Completion OPT are not required to purchase Sf State sponsored insurance.  However, OPT students are eligible to purchase this plan as long as you make the purchase within 30 days of your previous insurance expiration date.  For example, if your current insurance will end on August 9, you must purchase new coverage by September 9.
 
To purchase insurance, complete the 2018-2019 OPT Enrollment Form (PDF, 172KB), fax or mail the application with your EAD or I-20 with OPT request (if your application is still pending) to Relation. Do not apply online nor email the application.

Frequently Asked Questions

No other insurance policies will be accepted as a substitute for the one sponsored by SF State. 

You can schedule an appointment online with a doctor at Student Health Serivces .

You should go to urgent care when you DO NOT have a life-threatening condition but needs prompt attention. 
 
Visit the urgent fare if you experience nausea, vomiting, diarrhea, fever, back pain, cough or sore throat, animal bites, sprains and strains, eye irritation, swelling or pain, cold or flu symptoms.
 
Urgent care is more affordable for minor illness.  See "Use Your Insurance Plan" (PDF, 1.01MB) for a list of local urgent care centers near SF State.  A visit to the Emergency Room could be very expensive if you do not have a true emergency!

Call 911 if you have a life-threatening condition such as chest pain, difficulty breathing, severe bleeding, head trauma, and loss of vision.  See Emergency information on SHS' website.  

Contact Relation Customer Service team at 1-800-537-1777 or via email at customerservice.la@ascensionins.com.

No. SF State sponsored insurance is administrated by Relation Insurance.  SHS does not accept payment on behalf of Relation.  Insurance must be purchased at Relation’s website at http://www.4studenthealth.com/isfsu.
Go to http://www.4studenthealth.com/isfsu and click "Member Portal".  Always carry your insurance with you!