PENN STATE GRADUATE ASSISTANT AND GRADUATE FELLOW HEALTH INSURANCE
PLAN
ATTENTION:
Graduate Assistants and Fellows for Spring 2010:
You must complete and submit forms for medical, dental and vision insurance by Tuesday, January 19.
After you read the information below, you can complete the forms at:
GA/Fellow Online Dependent Enrollment and/or Declination Forms
GENERAL INFORMATION
Graduate Assistants and Graduate Fellows* - welcome to the Web page designed to provide you with information
about your insurance benefits.
* If you are unsure of your status as either a Graduate Assistant
or a Graduate Fellow, or if you have a spouse or children, please
review Definitions.
If you have dependents, you must re-enroll them every Fall semester. It is
not automatic. Contact Student Health Insurance at 302 Student Health Center (814-865-7467).
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INSURANCE PREMIUM SUBSIDIES
As a Graduate Assistant or Graduate Fellow, you are eligible to receive subsidies in the amount of 80% of the
annual premium cost for the Graduate Assistant and Graduate Fellow Insurance Plans. The university will
pay this amount directly to the insurance companies and will deduct your 20% contribution to premium expense
from your monthly paycheck.
Your insurance subsidies for your eligible dependents is 70% of the annual premium expense. As with the
subsidy for your individual insurances, the university will pay 70% of the premium expense directly to the
insurance companies and you will pay your 30% of the premium costs through a payroll deduction. Please refer to
the
Medical - Monthly Payroll Deductions
and Graduate Assistant/Fellow and Dependent Medical Premium Subsidy
Dental - Monthly Payroll Deductions and Graduate Assistant/Fellow and Dependent Dental Premium Subsidy.
Vision - Monthly Payroll Deductions and Graduate Assistant/Fellow and Dependent Vision Premium Subsidy.
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LINKS TO 2009-2010 APPOINTMENTS FOR
INTERNATIONAL STUDENTS
If you are an international Graduate Assistant or Graduate Fellow with an F visa or a J visa sponsored by Penn
State and your assistantship or fellowship appointment begins in:
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LINKS TO 2009-2010 APPOINTMENTS FOR
NON-INTERNATIONAL STUDENTS
If you are a non-international (i.e. a permanent United States resident) Graduate Assistant or Graduate Fellow
and your assistantship or fellowship appointment begins in:
BOOKLET
To view the booklet for the Penn State Graduate Assistant and
Graduate Fellow Health Insurance Plan (underwritten and marketed by UnitedHealthcare Student Resources), click below:
Graduate
Assistant and Graduate Fellow Health Insurance Plan

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DENTAL INSURANCE FOR 2009-2010
As a Graduate Assistant or Graduate Fellow, you are eligible to receive a subsidy in the amount of 80% of the annual premium cost for the United Concordia Dental Insurance Plan. Your insurance subsidy for your eligible dependents is 70% of the annual premium expense.
Graduate Assistant/Graduate
Fellow Dental Rates for 2009-2010 and Monthly Payroll Deduction
Graduate
Assistant/Graduate Fellow Dental Insurance Benefit Schedule
Centre County Dental
Providers
United Concordia
Certificate of Coverage
Home Page for United Concordia Companies, Inc.

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VISION INSURANCE FOR 2009-2010
As a Graduate Assistant or Graduate Fellow, you are eligible to receive a subsidy in the amount of 80% of the annual premium cost for the National Vision Insurance Plan. Your insurance subsidy for your eligible dependents is 70% of the annual premium expense.
Graduate Assistant/Graduate
Fellow Vision Rates for 2009-2010 and Monthly Payroll Deduction
Graduate
Assistant/Graduate Fellow Vision Insurance Benefit Schedule
Lasik Benefit
Home Page for National Vision Administrators, LLC
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