Mandatory Health Insurance Requirements
The Board of Trustees of the California State University (CSU) requires all matriculated, degree-seeking F-1 international students to have health insurance as a condition of registration and continued enrollment in the California State University system.
If you are taking classes in the U.S.
If you are taking classes outside the U.S.
June 1, 2020 - August 9, 2020: $326
August 10, 2020 - December 31, 2020: $910
Disclaimer: If you stay in/ return to the U.S. while enrolled without insurance coverage, you will be in violation of California State University (CSU) Executive Order 1082 and there may be negative consequences for your future enrollment, and you would be responsible for paying any medical expenses in full.
Mandatory Health Insurance Requirements
F-1 International students enrolled in Bachelor's or Master's degree programs 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.
|Type of Plan||Start Date||End date|
|Annual||August 10||August 9 (a year later)|
|Academic Year||August 10||May 31 (a year later)|
|Fall||August 10||December 31|
*For new Fall students who are arriving the U.S. early
|August 1||December 31|
|Spring||January 1||May 31|
|Summer||June 1||August 9|
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 email the proof of purchase to OIP. You can also go to Registrar's counter at One Stop and provide proof of purchase in person and clear the hold right away.
- Students on a government-sponsored scholarship which provides compatible insurance coverage as a part of the sponsorship should e-mail contact OIP at email@example.com for instructions.
- 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 Mr. Michael Beatty, Enterprise Risk Management, at firstname.lastname@example.org, for instruction to clear the insurance hold. Include your full-name and SF State ID in your e-mail.
- 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).
See "International Health Student Insurance Hold" information below for next steps to clear your hold with insurance exceptions.
F-1 international students are not required to maintain full-time enrollment during the Summer or Winter breaks. Your Summer Insurance Hold will not prevent you from registering for classes in Fall (you must purchase Fall insurance to enroll in Fall courses).
If you plan to leave the U.S. during Summer:
You do not need to purchase any insurance for summer nor clear the insurance hold.
If you plan to leave the U.S. during Summer and enroll in Summer online classes:
If you wish to clear the Summer 2020 insurance hold, please sign the Summer 2020 International Health Insurance Waiver Form. The summer insurance hold will be cleared 2 business days after you sign the waiver.
If you plan to stay in the U.S. during Summer and enroll in Summer classes:
You must purchase of the SF State sponsored insurance and clear your Summer International Health Insurance hold before you can register.
If you plan to stay in the U.S. during Summer but not enroll in any classes:
You are not required to purchase SF State student health insurance nor clear the Summer International Health Insurance Hold.
However, OIP would recommend you to purchase any insurance to cover your summer in the U.S. to protect yourself. Here are some samples of short term insurance plans you can purchase: IMG International Student Protection or HTH Travel Insurance.
Please note this does not apply to students who purchased the annual plan for the entire year. If you purchased the annual plan, you will be covered in Summer even if you are not enrolled in any Summer classes.
2019-2020 OPT Enrollment Form (PDF, 172KB)(Starting 8/10/2019)
As soon as you purcahse the insurance, create a member account and print your insurance at Relation's member portal. See instruction at Print Your Insurance Card (Link to Relation Member Portal). OIP also recommends you to how to use the services at Student Health Services (SHS) so you know what to do when you get sick. Read Navigating the Health Services at SF State and International Student Health Insurance (PDF, 1.78MB).
See How to Use Your International Student Health Insurance (Link to Relation's website) and How to Find a Off-campus Doctor/Provider (Link to Relation's website).
Frequently Asked Questions
You can schedule an appointment online with a doctor at Student Health Serivces .
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 email@example.com.
Last updated: May 2020