Click the Relation Logo below to access your Health Insurance Member Portal:
ID Cards Dependent Coverage Waivers
All international students in F-1 status are automatically enrolled in Peralta’s International Student Health Insurance plan. Relation (linked above) is the insurance provider and AETNA is the health insurance network for the Spring/Fall 2020 school year.
Participating F-1 status students will be charged an “International Student Health Insurance Fee”:
- $125.50 per month
- $627.50 for the fall semester
- $878.50 for the spring/summer session
- $251.50 for the summer session (new students only)
Per the Peralta and Relation health insurance policy, only F-1 status students and their dependents are eligible to receive health insurance coverage. Students who lose their status through changes in non-immigrant category or violation of status will be removed from coverage and forfeit their fees upon notice.
Your Health Insurance Member ID will be sent via email from Relation to your Peralta email address.
To Download your Health Insurance Card CLICK HERE and then FOLLOW THE STEPS IN THIS PDF.
***If you have not received an email with your Member ID number and Health Insurance card, please contact Relation Insurance at (800) 537-1777***
Students have the option to enroll their dependents in the Relation AETNA plan.
Enrollment forms are available by campus:
Please note that dependents must be enrolled before the first day of instruction for normal session classes (see academic calendar).
Once your dependent enrollment form is completed, please return this form with payment to:
ASCENSION, P.O. BOX 240042, LOS ANGELES, CA 90024
- Students who receive health insurance from their US resident spouse or US resident parents.
- Students who receive government sponsored health insurance.
- Students who receive health insurance from their place of employment in the US.
- Students who receive health insurance from Non-U.S. resident spouse/parents legally residing in the U.S.
All waiver requests will be carefully reviewed, however, submitting a request for a waiver does not guarantee that your waiver will be approved.
Each semester, the Health Insurance Waiver must be completed by the Friday before the semester begins (see Academic Calendar). Petitions submitted after the deadline will be automatically denied. Refunds will only be provided to students with approved Health Insurance Fee Waivers. No refunds will be issued after the refund deadline. Also, all F-1 status students must apply for the health insurance fee waiver every semester even if approved in prior semesters.
To apply for the Health Insurance Waiver Form, you will need to access to your GPS account.
After completing the waiver process, a Program Manager will send you an email providing an acceptance letter, denial notice, or request for additional evidence.
Enrollment Tip
If you need to enroll in classes and you’re waiting for the health insurance fee waiver to be reviewed, please pay the fee first, so you can enroll. Then, if approved for the fee waiver, your health insurance fee will be refunded.
Accident Illness Only
Please note that your AETNA plan is an “Accident/Illness” plan only. Meaning, you will only receive coverage if you are actually injured or ill.
Additional Information
For more information about your health insurance plan, please visit your Health Insurance Portal through Relation Insurance. This site will answer all of your health insurance related questions. If, after reading through these online materials and you still have questions please email International Student Program Manager Matthew Jones (mjones2@peralta.edu) or Michael Goldberg (mgoldberg@peralta.edu).
