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2554-06-25

MIT Affiliate Health Plan

Massachusetts requires Affiliates to have health insurance coverage that includes a variety of health
care benefits. The MIT Affiliate Health Plan is designed to fulfill the state mandated health insurance requirements.
There are two parts to the MIT Affiliate Health Plan:
The first part is the Mit Affiliate Medical plan. It provides you with primary care, outpatient
mental health care, and a wide range of other services, all of which are provided on campus at the
MIT Medical building, or the MIT Medical building on the grounds of Lincoln Laboratory.
The second part is insurance that satisfies the coverage Affiliates are required to have by Massachusetts law. This includes coverage for inpatient hospitalization, inpatient mental health and
substance abuse treatment, and surgical procedures. This coverage is referred to as the Mit Affiliate extended insurance plan.
You may waive enrollment in the MIT Affiliate Medical Plan if you submitted waiver information
on line or signed a waiver form on which you certify that you have comparable health insurance
coverage from another source. it is your responsibility to determine whether you already have
health insurance that meets the needs of Massachusetts requirements. it is also your responsibility
to determine whether the health insurance you already have is sufficient to meet your insurance
needs.
All benefits, coverages, exclusions and limitations described in this document are effective September 1, 2009.
this document addresses coverage and eligibility under the Affiliate Medical plan only.
please refer to the summary plan description for the Mit Affiliate extended insurance
plan for information regarding that plan.