Eligibility and Coverage
Eligibility
- Students of Case Western Reserve University registered for at least one credit hour.
- Residents of University Housing who have a direct affiliation with a University sponsored program.
- Persons associated with special programs on the campus of Case Western Reserve University may be
eligible for this student coverage.
- Students of The Cleveland Institute of Art and The Cleveland Institute of Music registered for at least one credit hour.
Not Eligible to Receive Coverage
- Students cross-registered for classes at Case Western Reserve University or its affiliates.
- Employees of Case Western Reserve University who are eligible for Benelect.
Periods of Coverage
Case Western Reserve University School of Medicine, Case Western Reserve University School of Dental Medicine (MSD) Students, and Cleveland Clinic Lerner College of Medicine:
Fall Semester: July 1, 2007 (12:01 a.m.) to January 13, 2008 (11:59 p.m.)
Spring Semester: January 14, 2008 (12:01 midnight) to June 30, 2008 (11:59 p.m.)
All Students Except Those Listed Above
Fall Semester: August 1, 2007 (12:01 a.m.) to January 13, 2008 (11:59 p.m.)
Spring Semester: January 14, 2008 (12:01 midnight) to July 31, 2008 (11:59 p.m.)
If a student registers after September 7, 2007 for Fall Semester and after January 25, 2008 for Spring Semester,
the Medical Plan will become effective on the date the student registers (not on the effective date listed above).
Important Definitions
Injury
— Means bodily damages:
- caused directly and independently of all other causes by an accident; and,
- which results in loss covered by the plan.
Sickness
— Means illness or disease for which treatment is received while the person is covered under this plan.
Disability
— Means either a sickness or injury.
Routine Care
— Means any medical service that is performed for preventative purposes or performed in the absence of a
specific diagnosis.
Plan Year
— Means fiscal year as described under period of coverage above.