Documents
Resources
Learning Center
Upload
Plans & pricing Sign in
Sign Out

Change of Health Cover _ PDF 74k_ - Griffith University

VIEWS: 17 PAGES: 2

									          CHANGE TO OVERSEAS STUDENT HEALTH COVER (OSHC)
PERSONAL DETAILS

                                            Family name:                                                Contact number:

                                            First name:                                                 Email:



CONVERT TO VISA LENGTH COVER                                                              VISA EXPIRY DATE:                /      /
New government visa regulations require students to have Visa Length Health Cover when applying for or extending their student visa.
To request Visa Length Health Cover or to upgrade your policy, please complete the following information. An OSHC Worldcare
representative can assist you to calculate the number of months and premium required. For the latest details of the locations and
times the Worldcare Representatives are available, check the Griffith Port al for Current Students and enter OSHC in the Ask
Us search engine.
Current Overseas Student Health Cover details:
Policy number:                                                              Single    Family 
Details of Visa Length Cover required :         Single    Family 
Start Date:         /        /         End Date:              /      /                 Number of months required:
Premium $                                         Please pay the premium amount at the University Cashiers Office so cover can be provided.


EXEMPTION FROM GRIFFITH INSTITUTION OR VISA LENGTH COVER
Current Griffith students with Institution Health Cover have a fee charged to their student account every six months. If you have
engaged another provider for the length of your visa or are no longer on a student visa, you may be exempt from an ongoing or visa
length Overseas Student Health Cover fee. A University Officer must sight documentary evidence of alternative cover, such as a
Membership Card or Policy Certificate and attach a copy to this form.


 I have engaged Health Cover with another OSHC provider. (Please attach documentary evidence of policy)
Name of Alternate Provider:                                                 Start Date:
Level of Cover:                                                              End Date:


 I am no longer a holder of a student visa. (Please attach a copy of your current alternate visa)

STUDENT DECLARATION
I certify that the above information is correct and that all necessary documentation is attached.

Signature:                                                                  Date:                 /      /


LODGING INSTRUCTIONS
If converting to Visa Length Cover, speak with an OSHC Worldcare representative to calculate the required premium. Refer to the
Visa Length Cover box above for information on their availability. Pay the Visa Length Cover premium at the Griffith Cashiers Office.
Return this form with payment details and receipt to the Nathan or Gold Coast Griffith International Office.
If applying for exemption from OSHC, submit this form and documentation to a Griffith International Office at Nathan or Gold Coast.

                                                            OFFICE USE ONLY

        Date received at
      International Office          Documentary evidence is attached if required
                                    Signature of International Officer:                                                  Date:            /

                                   Exemption processed                                     VLC premium received, charged and scheduled




CONTROLLED FORM – CHANGE TO OVERSEAS STUDENT HEALTH COVER (OSHC)                                                  CRICOS PROVIDER 00233E [Page 1 of 2]
OSHC Visa Length Cover rates


 Number                                                               Number
   of           Single           You       Family         You           of         Single         You        Family            You
 months        premium          save!     premium        save!        months      premium        save!      premium           save!
     1                35                        70                       31           1,035           50        2,070             100
     2                70                       140                       32           1,070           50        2,140             100
     3               105                       210                       33           1,105           50        2,210             100
     4               140                       280                       34           1,140           50        2,280             100
     5               175                       350                       35           1,175           50        2,350             100
     6               210                       420                       36           1,210           50        2,420             100
     7               245                       490                       37           1,220           75        2,440             150
     8               280                       560                       38           1,255           75        2,510             150
     9               315                       630                       39           1,290           75        2,580             150
    10               350                       700                       40           1,325           75        2,650             150
    11               385                       770                       41           1,360           75        2,720             150
    12               420                       840                       42           1,395           75        2,790             150
    13               455                       910                       43           1,430           75        2,860             150
    14               490                       980                       44           1,465           75        2,930             150
    15               525                     1,050                       45           1,500           75        3,000             150
    16               560                     1,120                       46           1,535           75        3,070             150
    17               595                     1,190                       47           1,570           75        3,140             150
    18               630                     1,260                       48           1,605           75        3,210             150
    19               665                     1,330                       49           1,615          100        3,230             200
    20               700                     1,400                       50           1,650          100        3,300             200
    21               735                     1,470                       51           1,685          100        3,370             200
    22               770                     1,540                       52           1,720          100        3,440             200
    23               805                     1,610                       53           1,755          100        3,510             200
    24               840                     1,680                       54           1,790          100        3,580             200
    25               825             50      1,650          100          55           1,825          100        3,650             200
    26               860             50      1,720          100          56           1,860          100        3,720             200
    27               895             50      1,790          100          57           1,895          100        3,790             200
    28               930             50      1,860          100          58           1,930          100        3,860             200
    29               965             50      1,930          100          59           1,965          100        3,930             200
    30             1,000             50      2,000          100          60           2,000          100        4,000             200
Prices shown are in Australian dollars.


Your OSHC policy will be arranged with OSHC Worldcare
Please visit www.oshcworldcare.com.au for policy details and to order your new OSHC card



PROTECTING STUDENT PRIVACY
Griffith University collects, stores and uses personal information only for the purposes of administering student and prospective
student admissions, enrolment and education. The information collected is confidential and will not be disclosed to third parties without
your consent, except to meet government, legal or other regulatory authority requirements. For further information consult the
University’s Privacy Plan at www.griffith.edu.au/about-griffith/plans-publications/griffith-university-privacy-plan.




CONTROLLED FORM – CHANGE TO OVERSEAS STUDENT HEALTH COVER (OSHC)                                           CRICOS PROVIDER 00233E [Page 2 of 2]

								
To top