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. 

In typical situations, 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. This policy typically has no bearing on the type of course (online or in person).  However, CSU Chancellor's office released the following exception during the pandemic:

Executive Order (EO) 1082 requires the campus to confirm that international students are insured. For international students who are enrolled online during the COVID 19 pandemic and are verifiably out of the country, this provision may be waived. Campuses should make sure that they and their students are in compliance with any visa regulations, and be prepared to confirm insurance when the student returns to the US.”
 
Please see the scenarios below to see what is applicable to your situation:
 

If you are taking classes  in the U.S.

If you are taking classes outside the U.S.

Purchase Summer 2020 insurance

June 1, 2020 - August 9, 2020: $326

Purchase Fall 2020 insurance

August 10, 2020 - December 31, 2020: $910

Sign Summer 2020 Insurance Waiver

Sign Fall 2020 Insurance Waiver

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 https://4studenthealth.relationinsurance.com/plan/international-student-insurance-plan-2020-2021-3611/?sch=3611

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

Early Fall

*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
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 https://4studenthealth.relationinsurance.com/plan/international-student-insurance-plan-2020-2021-3611/?sch=3611
 

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.

  • Students on a government-sponsored scholarship which provides compatible insurance coverage as a part of the sponsorship should e-mail contact OIP at f1@sfsu.edu 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 the SF State Enterprise Risk Management office at riskmgmt@sfsu.edu for instructions to clear the insurance hold.  Please include your full-name and SF State ID in your e-mail.
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).

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.

 

ATTENTION! SF State sponsored insurance only covers students who are enrolled in classes at SF State. If you purchased the SF State sponsored insurance plan for Summer but not enrolled in any classes in Summer at SF State, the plan will not cover your medical expenses.

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.

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 Relation's OPT Enrollment Form:
 

2019-2020 OPT Enrollment Form (PDF, 172KB)(Starting 8/10/2019)

2020-2021 OPT Enrollment Form (PDF, 138KB)(Starting 8/10/2020)

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.

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

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 Urgent Care 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.  SHS provides basic medical care at the SF State campus.  SHS does not administrate international student health insurance nor accept payment for insurance. SF State-sponsored insurance is administrated by Relation Insurance (Relation is an insurance broker).  Insurance must be purchased at Relation’s website at https://4studenthealth.relationinsurance.com/plan/international-student-insurance-plan-2020-2021-3611/?sch=3611.  Relation does not have an office at the SF State campus. However, you can reach their customer service team by phone or email (please contact the Los Angeles office)

Last updated: May 2020

For PDF files, you'll need Adobe Acrobat 5.0 or above to view it. If you need Adobe Acrobat Reader it's available free from Adobe (link is external).