OPT Final Meeting Eligibility Form

OPT Health Insurance Plan

Please select only ONE of the following options listed on this form.

I wish to remain on SUNY Oswego’s health insurance plan.

I intend to discontinue my participation in SUNY Oswego’s health insurance plan.

Please select only ONE of the SUNY Health Insurance plans that you wish to enroll in. You may change this at a later date. The pricing options are estimated values and may change during the summer.

1 month of coverage ($339 USD)

3 months of coverage ($1,017 USD)

6 months of coverage ($2,034 USD)

12 months of coverage ($4,068 USD)

Please select the payment option that you prefer for your OPT health insurance plan. For payment via check/money order, the document must be indicated as payable to the recipient "SUNY Oswego" and starter checks are NOT permitted.

Payment by Check

Payment by Money Order

Bill-Pay (If interested, further instructions will be provided)

Payment added to your Student Account Bill (Allows for payment via credit card)

I understand that I can change my Health Insurance plan during my OPT period

I confirm that I have read and understand the above statement

I confirm that I would like to continue my participation in the SUNY health insurance plan during OPT and will work with the Office of International Education & Programs’ Office Manager, Mrs. Amy Wallace (amy.wallace@oswego.edu) to continue my coverage.

I confirm that I have read and understand the above statement

I confirm that I do not wish to continue my participation in the health insurance plan provided by SUNY Oswego and that I will take immediate steps to obtain comparable health insurance coverage while I remain in the United States for myself and for my dependents (if applicable).

I confirm that I have read and understand the above statement

I understand that my coverage through UnitedHealthcare will end after my intended graduation date (January 15th for December graduates and June 15th for May graduates).

I confirm that I have read and understand the above statement

I understand that, unlike my current plan, many health insurance plans do not contain repatriation coverage and that I may purchase this as separate add-on coverage (valued at $7.50/month) by contacting isss@oswego.edu at least 2 weeks before my graduation.

I confirm that I have read and understand the above statement

Health insurance is extremely expensive in the United States for those who do not have adequate health insurance coverage. I understand that it is in one's best interest to enroll in comprehensive health insurance throughout the entirety of your stay in the United States, including during your participation in Optional Practical Training(OPT). If I have any dependents — such as a spouse or child — I have an obligation to them as well to make sure that they have appropriate medical coverage.

I confirm that I have read and understand the following statement

I understand that my current health insurance plan will end shortly after my program end date and the International Student & Scholar Services Office therefore very strongly recommends that I either make arrangements to continue my current student coverage through UnitedHealthcare OR that I immediately seek out an alternative health insurance plan to ensure adequate coverage.

I confirm that I have read and understand the above statement

If I plan to enroll in the Health Insurance plan, I must notify Amy Wallace (amy.wallace@oswego.edu) or the ISSS Office (isss@oswego.edu) at least two weeks before my intended graduation date.

I confirm that I have read and understand the above statement

I understand that I can change my OPT Health Insurance plan anytime during my OPT period.

I confirm that I have read and understand the above statement

International Student OPT Acknowledgement

All international students who intend to participate in Optional Practical Training (OPT) must abide by all rules associated with this practical training experience in order to maintain their F-1 student visa status.

Please read each of the statements listed below carefully.

I understand that I must complete all of my degree requirements by my intended graduation date in order to apply for OPT and that it is my responsibility to ensure that I graduate on the program end date indicated on my OPT I-20.

I confirm that I have read and understand the above statement

I understand that participation in OPT is not guaranteed. Therefore, I will take the appropriate steps to make sure that I have a plan for my employment in the event that I need to return to my home country after graduation.

I confirm that I have read and understand the above statement

I understand that an OPT application is my own personal application and that I alone am responsible for timely filing with complete documentation, understanding F-1 rules regarding OPT, and properly maintaining my F-1 visa status.

I confirm that I have read and understand the above statement

I acknowledge that it generally takes between 3 - 5 months after the date on which my OPT application was filed in order to receive my EAD card, and that I can check updates on my case through my USCIS account or by downloading the "Case Tracker for USCIS" app

I confirm that I have read and understand the above statement

I understand that, if I would like my EAD Card mailed to the SUNY Oswego campus, I should use the ISSS Office address of 301 Washington Blvd, 116 Sheldon Hall, Oswego NY 13126.

I confirm that I have read and understand the statement above

I acknowledge that it is my responsibility to scan the front and back of my EAD card and send it to isss@oswego.edu once I receive my EAD card. By putting the ISSS mailing address, I acknowledge that the ISSS office will scan the EAD card and upload them to my records before I claim my EAD card

I confirm that I have read and understand the above statement

I understand that all on-campus employment MUST END on or before my Program Completion Date (graduation date) indicated on my Form I-20, and that I can only begin work again, directly related to my field of study, after my OPT EAD approved start date.

I confirm that I have read and understand the above statement

I understand that there are two conditions in order to begin my OPT employment: 1.) I need to have received my Employment Authorization Document (EAD card), and 2.) I cannot start working until the start date indicated on my EAD card.

I confirm that I have read and understand the statement above

I understand that I cannot work after the end date on my EAD card, unless I have a pending STEM extension request or H-1B petition filed with USCIS.

I confirm that I have read and understand the statement above

I understand that my OPT employment authorization is only for work that is directly related to my field of study. I know that engaging in work that is unrelated to my degree program is considered illegal employment and constitutes a violation of my F-1 status.

I confirm that I have read and understand the statement above

I understand that OPT is employment-dependent, and that accruing an aggregate of 90 days of unemployment during my employment authorization period will result in the termination of my SEVIS record.

I confirm that I have read and understand the statement above

I understand that my passport must be valid at the time of OPT authorization and that it is my responsibility to maintain the validity of my passport throughout the duration of my OPT period.

I confirm that I have read and understand the statement above

I understand that I must report all changes of address to the International Student & Scholar Services Office at isss@oswego.edu within 10 days so that they can update my SEVIS record. -> add link to the form

I confirm that I have read and understand the statement above

I understand that it is my responsibility to obtain a travel signature (on page 2 of my OPT I-20 in the Travel Endorsement section) from the International Student & Scholar Services Office if I am going to travel outside the United States while I am on OPT. I understand that a travel signature is only valid for six months during the OPT authorization period.

I confirm that I have read and understand the statement above

I acknowledge that it is my responsibility to maintain health insurance coverage for myself and my dependents while on OPT. I agree to submit the “Maintaining health insurance while on OPT” form to the International Student & Scholar Services Office at least two weeks prior to my graduation date. I understand that if I do not submit this form then I will no longer receive health insurance through SUNY Oswego after my graduation date.

I confirm that I have read and understand that above statement

I understand that it is my responsibility to keep my record of employment (including information regarding my current employer as well as employment start and end dates) updated and accurate. I will input and update these details as necessary at: sevp.ice.gov/opt

I confirm that I have read and understand the statement above

Concerning OPT and travel, I acknowledge the following

If I travel while my OPT application is pending and the EAD card is issued prior to my return to the United States, in order to reenter the United States I must have a job, documentation evidencing my employment, and my EAD card.

I confirm that I have read and understand the statement above

If I travel before my EAD card is issued, I understand that I may be asked for evidence to show that I am looking for a job upon attempting to reenter the United States.

I confirm that I have read and understand the statement above

If I am traveling after my EAD card is issued, I can only reenter the United States to resume employment, meaning that I must already have a job offer and must be able to present documentation of this.

I confirm that I have read and understand the above statement

I understand that traveling outside the U.S. before receiving my EAD card and a job is risky. I accept all risks if I travel.

I confirm that I have read and understand that above statement