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2020 USG Waiver Appeal Process
This Process outlines the steps to be taken in case of a Waiver Appeal for the University System of Georgia (USG) for the
20-21 Policy year.
In the event of an escalated appeal, UnitedHealthcare StudentResources (UHCSR) has partnered with an independent
third party entity (ECI Services) to further review the student’s plan and make a final determination of approval or denial of
the Waiver Request.
Responsible Party:
Process Steps:
Waiver Verification
System
Upon submission of the waiver request, the information submitted by the student is
evaluated to determine if their Insurance Plan meets the USG criteria for waiving the
Student Health Insurance Plan (SHIP) offered by USG, and whether the student has active
coverage under their plan. When either criteria (Plan acceptable and active coverage) is
not met, the student receives a Waiver Declined notification, which includes the reason for
the denial and instructions to contact waiververification@uhcsr.com
with any questions.
Student with
questions about
denial
Student emails waiververification@uhcsr.com with their question and provides required
information:
School/University
Student Name
Student ID
Confirmation of Coverage or other policy documentation showing their plan meets the USG
Requirements
Waiver Verification
Team
Reviews the waiver submitted and the additional information provided by the student.
• If the information provided meets the criteria to waive the USG plan, the Waiver
Verification team updates the waiver status to “Approved” and an approval email is
auto-generated to the student.
• If the information provided does not meet the criteria to waive the USG plan, the
Waiver Verification team emails the student with the details about why their plan
does not meet the criteria
Student Escalates the
Appeal
The student submits a return email request for further appeal.
Waiver Verification
Team
The Waiver Verification team forwards the appeal along with all supporting documentation
supplied by the student (COC, Uploaded ID Card, etc.) to the independent 3
rd
party (ECI
Services) and copies the student.
• The email states that UHCSR is forwarding their appeal to an independent 3
rd
Party to review their plan and make a final determination
• The email includes the 3
rd
Party customer service number and hours of operation
• The email also indicates that it will take 3-5 business days for a response.
3
rd
Party
Reviews the documentation received and makes a final determination
• Responds to both the student and WaiverVerification@uhcsr.com
of the final
decision
Waiver Verification
Team
If the Waiver Denial was overturned, updates the waiver Status in Partner Center to
indicate approval of the waiver request.
