As the economy worsens and jobs are lost, more and more students find themselves dropped from mom and dadâĂ„Ă´s health insurance policy. This means the largest population of uninsured people in the country is growing quickly. Nationally, colleges and universities are combating this trend by requiring students to carry comprehensive health insurance. The Minnesota State Colleges and Universities system is currently piloting a mandatory student health insurance policy at its Moorhead campus this year. âĂ„ĂşItâĂ„Ă´s called insurance for a reason,âĂ„Ăą said Carol Grimm, director of health and wellness for Minnesota State University-Moorhead . âĂ„ĂşYou donâĂ„Ă´t need it until you really need it.âĂ„Ăą A Minnesota Daily analysis of Big Ten schools found about a fifty-fifty split among schools requiring students to be insured.
Making the move to mandatory insurance isnâĂ„Ă´t always easy. For universities, it can be an intensive, time-consuming process. For students who didnâĂ„Ă´t have insurance before, it can mean paying for a plan they might not want. The University of Minnesota has required students to have health and hospitalization insurance since the 1970s and slowly but surely, other public and private schools are following its lead. Over the years, the student health benefits plan has evolved to look similar to âĂ„ĂşrealâĂ„Ăą insurance, said Dave Golden , public health and marketing director for Boynton Health Service. Schools with voluntary insurance âĂ„ĂşcouldnâĂ„Ă´t go out and purchase a plan like this if they wanted to,âĂ„Ăą he said. âĂ„ĂşThis is a really good plan.âĂ„Ăą Susann Jackson , the director of the UniversityâĂ„Ă´s student health benefits plan, said because of the UniversityâĂ„Ă´s very large pool of students, âĂ„ĂşweâĂ„Ă´ve been able to negotiate excellent contracts âĂ„¦ so that our students have access to a broad network at very reasonable cost.âĂ„Ăą Unlike many other plans, the UniversityâĂ„Ă´s health benefits plan covers 80 percent of most costs with a $2,000 out-of-pocket maximum, and a $3 million lifetime maximum for benefits, Golden said. This year, JacksonâĂ„Ă´s office has seen an increase in calls from students whoâĂ„Ă´ve been dropped from their parentsâĂ„Ă´ coverage. But even mandatory health insurance doesnâĂ„Ă´t mean a campus full of insured students, Jackson said. Anonymous surveys show about 10 percent of University students remain uninsured, she said. Campuses with mandatory health insurance, like the University of Michigan, and those with voluntary coverage, like MnSCU had before their pilot program, reported similar rates of uninsured students. Other campuses, such as Purdue University and Indiana University, which are both voluntary environments, reported uninsured rates as high as 20 to 25 percent. Students who have health insurance are less likely to drop out of school as a result of an unexpected illness or injury they canâĂ„Ă´t afford, an obvious benefit to universities, officials from multiple schools said. Additionally, schools with multiple campuses can pool their students to leverage for better benefits and provide cheaper coverage than private insurers can because of a largely young and healthy population. If a school has mandatory insurance, it can allocate financial aid to students who canâĂ„Ă´t afford it, said Lesley Sacher , director of the student health center at Florida State University and past-president of the American College Health Association âĂ„Ă® a group that creates standards for student health insurance plans. Although many college students think of themselves as being generally healthy, school officials agreed insurance is necessary for everyone. âĂ„ĂşNobody wakes up one day and says, âÄòI think IâĂ„Ă´ll get meningitis todayâĂ„Ă´,âĂ„Ăą Sacher said. âĂ„ĂşThey donâĂ„Ă´t expect to be in a car accident, or diagnosed with an illness or disease, but it happens. We donâĂ„Ă´t want those students to have to drop out of school.âĂ„Ăą Schools with voluntary insurance policies often have more expensive plans that offer weaker coverage. In a voluntary system, only people who are already sick or in need of services buy the plan, Sacher said, making it more expensive overall. Hugh Jessop , executive director and chief financial officer for the Indiana University Health Center said his schoolâĂ„Ă´s plan is âĂ„Ăşno comparisonâĂ„Ăą to the plans offered by schools with a mandatory insurance policy. Patty Blackburn , a student insurance representative from Purdue, said they wouldnâĂ„Ă´t have the staff capacity to enforce a mandatory insurance policy. She said she thinks everyone should have health insurance, but for that to happen, the health care system needs to be overhauled. âĂ„ĂşIâĂ„Ă´m sad that our country has dug its feet in this,âĂ„Ăą Blackburn said. âĂ„ĂşI think itâĂ„Ă´s a crime that we have 47 million people uninsured.âĂ„Ăą Ian Zier was working toward an undergraduate degree at the University of St. Thomas when the school switched to mandatory health insurance in 2007. While he knew it was hard for some, Zier said he didnâĂ„Ă´t mind, and actually felt good knowing his friends would have insurance. Zier was covered under his parentsâĂ„Ă´ plan at the time. âĂ„ĂşItâĂ„Ă´s really just a wise decision as a student to have health insurance, so I really didnâĂ„Ă´t see it as a burden,âĂ„Ăą he said. Zier is now an economy major at the University of Minnesota. After being dropped from his parentsâĂ„Ă´ insurance plan, he researched the different health insurance options, eventually deciding on the UniversityâĂ„Ă´s student health benefit plan. So far, he said, the plan has been working out well. In comparison to private insurers, the University plan is reasonably priced with fewer hidden costs, Zier said. âĂ„ĂşI think itâĂ„Ă´s a very good plan,âĂ„Ăą he said. âĂ„ĂşIt works out well for me.âĂ„Ăą – Emma L. Carew is a senior staff reporter