40
245 Yes 22 No 10Uncertain A CHA A FFILIA TION Yes No Uncertain 260 250 240 230 220 210 200 190 180 170 160 150 140 130 120 110 100 90 80 70 60 50 40 30 20 10 0 88.4 % 7.9 % 3.6 %

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Page 1: ACHA2007

245 Yes 22 No 10 Uncertain

ACHA AFFILIATION

Yes No Uncertain

260

250240

230220

210200190

180170

160150

140130

120110

1009080

7060

5040

3020

100

88.4 %

7.9 %

3.6 %

Page 2: ACHA2007

2 AK3 AL1 AR2 AZ

18 CA9 CO5 CT2 DC0 DE9 FL

10 GA1 HI2 IA3 ID

17 IL2 IN4 KS3 KY3 LA

14 MA4 MD2 ME6 MI5 MN4 MO3 MS1 MT

11 NC2 ND4 NE3 NH8 NJ

What state is your institution located?

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MDME MI MNMOMS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX VA VT WA WI WV UT

23

22

21

20

19

18

17

16

15

14

13

12

11

10

9

8

7

6

5

4

3

2

1

0

0.7 %

1.1 %

0.4 %

0.7 %

6.5 %

3.3 %

1.8 %

0.7 %

0.0 %

3.3 %

3.6 %

0.4 %

0.7 %

1.1 %

6.2 %

0.7 %

1.4 %

1.1 %1.1 %

5.1 %

1.4 %

0.7 %

2.2 %

1.8 %

1.4 %

1.1 %

0.4 %

4.0 %

0.7 %

1.4 %

1.1 %

2.9 %

0.7 %

0.4 %

8.0 %

2.5 %2.5 %

1.4 %

6.9 %

1.1 %

1.4 %

0.7 %

2.2 %

4.0 %

2.2 %

0.4 %

2.2 %

2.5 %

0.4 %

0.0 %

1.4 %

Page 3: ACHA2007

15 Public 2-year 3 Private 2-year

133 Public 4-year 124 Private 4-year

INSTITUTIONAL CONTROL:

Public 2-year Private 2-year Public 4-year Private 4-year

140

130

120

110

100

90

80

70

60

50

40

30

20

10

0

5.5 %

1.1 %

48.4 %

45.1 %

Page 4: ACHA2007

4 No undergraduate students17 Under 1,00042 1,000 to 1,99971 2,000 to 4,99942 5,000 to 9,99944 10,000 to 14,99922 15,000 to 19,99915 20,000 to 24,99910 25,000 to 29,9995 30,000 to 39,9995 40,000 +

CAMPUS SIZE

757065605550454035302520151050

No undergraduate students

Under 1,000

1,000 to 1,999

2,000 to 4,999

5,000 to 9,999

10,000 to 14,999

15,000 to 19,999

20,000 to 24,999

25,000 to 29,999

30,000 to 39,999

40,000 +

1.4 %

6.1 %

15.2 %

25.6 %

15.2 %

15.9 %

7.9 %

5.4 %

3.6 %

1.8 %

1.8 %

Page 5: ACHA2007

44 No graduate/professional students77 Under 1,00034 1,000 to 1,99973 2,000 to 4,99933 5,000 to 9,99914 10,000 to 14,9991 15,000 to 19,9992 20,000 to 24,9990 25,000 to 29,9990 30,000 to 39,9990 40,000 +

GRADUATE SIZE

80706050403020100

No graduate/professional students

Under 1,000

1,000 to 1,999

2,000 to 4,999

5,000 to 9,999

10,000 to 14,999

15,000 to 19,999

20,000 to 24,999

25,000 to 29,999

30,000 to 39,999

40,000 +

15.8 %

27.7 %

12.2 %

26.3 %

11.9 %

5.0 %

0.4 %

0.7 %

0.0 %

0.0 %

0.0 %

Page 6: ACHA2007

156 None listed here55 Faith-based institution16 Don't know15 Community college11 Hispanic Serving Institution (HSI)5 Historically Black College or University (HBCU)2 Alaska Native or Native Hawaiian Serving Institution (ANNH)1 Minority Postsecondary Institution (MPI)

Special institutional attributes (Check all that apply):

150100500

None listed here

Faith-based institution

Don't know

Community college

Hispanic Serving Institution (HSI)

Historically Black College or University (HBCU)

Alaska Native or Native Hawaiian Serving Institution (ANNH)

Minority Postsecondary Institution (MPI)

55.9 %

19.7 %

5.7 %

5.4 %

3.9 %

1.8 %

0.7 %

0.4 %

Page 7: ACHA2007

251 Yes (skips to Q16)28 No

STUDENT HEALTH INSURANCE OFFERED

Yes (skips to Q16) No

270260250240230220210200190180170160150140130120110

1009080706050403020100

90.0 %

10.0 %

Page 8: ACHA2007

10 Yes (skips to Q14)15 No

HEALTH INSURANCE ENDORSED

Yes (skips to Q14) No

16

15

14

13

12

11

10

9

8

7

6

5

4

3

2

1

0

40.0 %

60.0 %

Page 9: ACHA2007

6 Yes 9 No

PLAN TO OFFER STUDENT HEALTH INSURANCE

Yes No

9

8

7

6

5

4

3

2

1

0

40.0 %

60.0 %

Page 10: ACHA2007

8 Yes 18 No (skips to Q37)

Do you expect your institution will require health insurance as a condition of enrollment in the future?

Yes No (skips to Q37)

19

18

17

16

15

14

13

12

11

10

9

8

7

6

5

4

3

2

1

0

30.8 %

69.2 %

Page 11: ACHA2007

4 Studying requiring health insurance condition enrollment3 Other1 Requirement health insurance considered governing board

Which best describes your current position.

43210

Studying requiring health insurance condition enrollment

Other

Requirement health insurance considered governing board

1.4 %

1.1 %

0.4 %

Page 12: ACHA2007

66 Endorse insurance plan, (not institution controled) sold directly students107 Single plan all classes eligible students.24 One plan undergraduate separate plan international 8 Plan under/graduates, separate plan teaching assistants/researchers

16 3 or more separate plans 30 Other

Best describes the SHIBP offered

150100500

Endorse insurance plan, (not institution controled) sold directly students

Single plan all classes eligible students.

One plan undergraduate separate plan international

Plan under/graduates, separate plan teaching assistants/researchers

3 or more separate plans

Other

26.3 %

42.6 %

9.6 %

3.2 %

6.4 %

12.0 %

Page 13: ACHA2007

144 One cost all classifications of eligible students36 Separate cost US/permanent residents and international students11 Separate costs under/graduate/international students age-rating 13 Separate cost undergraduate and graduate students 16 Three or more separate costs27 Other

Statement cost of coverage SHIBP offered by institution based on eligible student classifications

150100500

One cost all classifications of eligible students

Separate cost US/permanent residents and international students

Separate costs under/graduate/international students age-rating

Separate cost undergraduate and graduate students

Three or more separate costs

Other

58.3 %

14.6 %

4.5 %

5.3 %

6.5 %

10.9 %

Page 14: ACHA2007

149 Yes (skips to Q20)104 No

Student Health Services/ Center have primary control for your institution's SHIBP?

Yes (skips to Q20) No

160

150

140

130

120

110

100

90

80

70

60

50

40

30

20

10

0

58.9 %

41.1 %

Page 15: ACHA2007

1 Academic Affairs or similar51 Business Affairs or similar29 Other Student Affairs or similar1 Student Government or similar

21 Other

Identify the division/ department primary control for your SHIBP

5550454035302520151050

Academic Affairs or similar

Business Affairs or similar

Other Student Affairs or similar

Student Government or similar

Other

1.0 %

49.5 %

28.2 %

1.0 %

20.4 %

Page 16: ACHA2007

118 Mandated by institution28 Mandated by state/ higher education governing board

108 No (skip to question 22)

Institution require health insurance condition of enrollment for US citizens/ permanent residents full-time undergraduate students?

120100806040200

Mandated by institution

Mandated by state/ higher education governing board

No (skip to question 22)

46.5 %

11.0 %

42.5 %

Page 17: ACHA2007

32 Prior to 1986 (skips to Q25)26 Between 1986 & 1990 (skips to Q25)35 Between 1990 & 2000 (skips to Q25)35 Between 2000 & 2006 (skips to Q25)10 This year 2006-2007 (skips to Q25)

How long has the mandate been in place?

35302520151050

Prior to 1986 (skips to Q25)

Between 1986 & 1990 (skips to Q25)

Between 1990 & 2000 (skips to Q25)

Between 2000 & 2006 (skips to Q25)

This year 2006-2007 (skips to Q25)

23.2 %

18.8 %

25.4 %

25.4 %

7.2 %

Page 18: ACHA2007

43 Yes 71 No

Do you expect your institution will require health insurance as a condition of enrollment in the future?

Yes No

75

70

65

60

55

50

45

40

35

30

25

20

15

10

5

0

37.7 %

62.3 %

Page 19: ACHA2007

41 Voluntary SHIBP stable expect continue SHIBP7 Questionable institution continue SHIBP

18 Other

If No, which best describes your current position.

454035302520151050

Voluntary SHIBP stable expect continue SHIBP

Questionable institution continue SHIBP

Other

62.1 %

10.6 %

27.3 %

Page 20: ACHA2007

12 Plans implement insurance requirement next two years27 Studying possibility requiring health insurance condition enrollment9 Requirement health insurance considered higher education governing board

12 Other

If Yes, which best describes your current position. (please check all that apply).

403020100

Plans implement insurance requirement next two years

Studying possibility requiring health insurance condition enrollment

Requirement health insurance considered higher education governing board

Other

4.3 %

9.7 %

3.2 %

4.3 %

Page 21: ACHA2007

92 Voluntary8 Positive Check-Off4 Forced Answer0 Negative Check-Off

37 Mandatory with “Loose” Waiver79 Mandatory with “Restrictive” Waiver8 Mandatory with Right of Refund

15 Mandatory6 N/A

Identify enrollment system full-time undergraduate US citizens/ permanent residents:

1009080706050403020100

Voluntary

Positive Check-Off

Forced Answer

Negative Check-Off

Mandatory with “Loose” Waiver

Mandatory with “Restrictive” Waiver

Mandatory with Right of Refund

Mandatory

N/A

36.9 %

3.2 %

1.6 %

0.0 %

14.9 %

31.7 %

3.2 %

6.0 %

2.4 %

Page 22: ACHA2007

100 Voluntary8 Positive Check-Off3 Forced Answer0 Negative Check-Off

32 Mandatory with “Loose” Waiver50 Mandatory with “Restrictive” Waiver6 Mandatory with Right of Refund5 Mandatory

45 N/A

Identify enrollment system full-time graduate US citizens/ permanent residents not have teaching/ research assistant

1101009080706050403020100

Voluntary

Positive Check-Off

Forced Answer

Negative Check-Off

Mandatory with “Loose” Waiver

Mandatory with “Restrictive” Waiver

Mandatory with Right of Refund

Mandatory

N/A

40.2 %

3.2 %

1.2 %

0.0 %

12.9 %

20.1 %

2.4 %

2.0 %

18.1 %

Page 23: ACHA2007

82 Voluntary4 Positive Check-Off3 Forced Answer0 Negative Check-Off

25 Mandatory with “Loose” Waiver46 Mandatory with “Restrictive” Waiver6 Mandatory with Right of Refund

11 Mandatory72 N/A

Please identify the enrollment system for full-time graduate students who have a teaching/ research assistant appointment

9080706050403020100

Voluntary

Positive Check-Off

Forced Answer

Negative Check-Off

Mandatory with “Loose” Waiver

Mandatory with “Restrictive” Waiver

Mandatory with Right of Refund

Mandatory

N/A

32.9 %

1.6 %

1.2 %

0.0 %

10.0 %

18.5 %

2.4 %

4.4 %

28.9 %

Page 24: ACHA2007

12 Voluntary2 Positive Check-Off3 Forced Answer0 Negative Check-Off

27 Mandatory with “Loose” Waiver115 Mandatory with “Restrictive” Waiver

9 Mandatory with Right of Refund75 Mandatory10 N/A

Please identify the enrollment system for international students

120100806040200

Voluntary

Positive Check-Off

Forced Answer

Negative Check-Off

Mandatory with “Loose” Waiver

Mandatory with “Restrictive” Waiver

Mandatory with Right of Refund

Mandatory

N/A

4.7 %

0.8 %

1.2 %

0.0 %

10.7 %

45.5 %

3.6 %

29.6 %

4.0 %

Page 25: ACHA2007

43 Less than 5%42 6% to 10%27 11% to 15%20 16% to 20%23 21% to 25%16 26% to 33%15 34% to 40%14 41% to 50%10 51% to 60%7 61% to 70%7 71% to 80%

22 More than 80%

Percentage population covered SHIBP. If separate plans international students, graduate teaching assistants/ researchers, include answer

4644424038363432302826242220181614121086420

Less than 5%

6% to 10%

11% to 15%

16% to 20%

21% to 25%

26% to 33%

34% to 40%

41% to 50%

51% to 60%

61% to 70%

71% to 80%

More than 80%

17.5 %

17.1 %

11.0 %

8.1 %

9.3 %

6.5 %

6.1 %

5.7 %

4.1 %

2.8 %

2.8 %

8.9 %

Page 26: ACHA2007

12 Less than $20026 $200 to $39925 $400 to $59940 $600 to $79946 $800 to $99933 $1,000 to $1,19920 $1,200 to $1,39918 $1,400 to $1,59913 $1,600 to $1,7995 $1,800 to $1,9997 $2,000 to $2,1991 $2,200 to $2,3991 $2,400 to $2,5991 $2,600 to $2,7991 $2,800 or more

12-month cost student coverage undergraduate under age 23 US Citizen/ Permanent Residents

454035302520151050

Less than $200

$200 to $399

$400 to $599

$600 to $799

$800 to $999

$1,000 to $1,199

$1,200 to $1,399

$1,400 to $1,599

$1,600 to $1,799

$1,800 to $1,999

$2,000 to $2,199

$2,200 to $2,399

$2,400 to $2,599

$2,600 to $2,799

$2,800 or more

4.8 %

10.4 %

10.0 %

16.1 %

18.5 %

13.3 %

8.0 %

7.2 %

5.2 %

2.0 %

2.8 %

0.4 %

0.4 %

0.4 %

0.4 %

Page 27: ACHA2007

64 Less than $250,00032 $250,000 to $499,99918 $500,000 to $749,99920 $750,000 to $999,99910 $1 million to $1.49 million12 $1.5 million to $1.99 million21 $2.0 million to $3.99 million11 $4.0 million to $5.99 million7 $6.0 million to $7.99 million7 $8.0 million to $9.99 million6 $10.0 million to $14.9 million8 $15 million or greater

2006-07 premium/ fund contributions SHIBP

65605550454035302520151050

Less than $250,000

$250,000 to $499,999

$500,000 to $749,999

$750,000 to $999,999

$1 million to $1.49 million

$1.5 million to $1.99 million

$2.0 million to $3.99 million

$4.0 million to $5.99 million

$6.0 million to $7.99 million

$8.0 million to $9.99 million

$10.0 million to $14.9 million

$15 million or greater

29.6 %

14.8 %

8.3 %

9.3 %

4.6 %

5.6 %

9.7 %

5.1 %

3.2 %

3.2 %

2.8 %

3.7 %

Page 28: ACHA2007

40 Less than 60%12 61% to 65%12 66% to 70%25 71% to 75%20 76% to 80%22 81% to 85%3 86% to 90%8 More than 90%

88 Unknown

Percentage premium paid in form of benefit payments (target loss ratio)

908580757065605550454035302520151050

Less than 60%

61% to 65%

66% to 70%

71% to 75%

76% to 80%

81% to 85%

86% to 90%

More than 90%

Unknown

17.4 %

5.2 %

5.2 %

10.9 %

8.7 %

9.6 %

1.3 %

3.5 %

38.3 %

Page 29: ACHA2007

135 Fully insured no component self-funded14 Fully insured program retain portion cost to self-fund claims10 Partially self-funded purchases stop-loss coverage7 Completely self-fund entire claims liability1 Self-funding institution-owned managed care

63 Unknown11 Other

Statement best describes use self-funding relative operation SHIBP undergraduates

150100500

Fully insured no component self-funded

Fully insured program retain portion cost to self-fund claims

Partially self-funded purchases stop-loss coverage

Completely self-fund entire claims liability

Self-funding institution-owned managed care

Unknown

Other

56.0 %

5.8 %

4.1 %

2.9 %

0.4 %

26.1 %

4.6 %

Page 30: ACHA2007

69 Less than $5017 $50 to $6916 $70 to $8922 $90 to $1096 $110 to $119

10 $120 to $13916 $140 to $1597 $160 to $1796 $180 to $199

30 $200 to $3996 $400 to $5993 $600 to $7993 $800 to $9991 $1000 to $11994 $1,200 or more

Academic year (not summer) level of pre-funding SHS from health fees

7065605550454035302520151050

Less than $50

$50 to $69

$70 to $89

$90 to $109

$110 to $119

$120 to $139

$140 to $159

$160 to $179

$180 to $199

$200 to $399

$400 to $599

$600 to $799

$800 to $999

$1000 to $1199

$1,200 or more

31.9 %

7.9 %

7.4 %

10.2 %

2.8 %

4.6 %

7.4 %

3.2 %

2.8 %

13.9 %

2.8 %

1.4 %

1.4 %

0.5 %

1.9 %

Page 31: ACHA2007

119 Yes 113 No

COUNSELING SERVICES INCLUDED

Yes No

125

120

115

110

105

100

95

90

85

80

75

70

65

60

55

5045

40

35

30

25

20

15

10

5

0

51.3 %

48.7 %

Page 32: ACHA2007

62 0%45 Less than 10%25 10% to 19%28 20% to 29%13 30% to 39%17 40% to 49%8 50% to 59%

35 60% or more

Percentage health service budget derived from students' fee-for-service charges, insurance reimbursements, etc.

65605550454035302520151050

0%

Less than 10%

10% to 19%

20% to 29%

30% to 39%

40% to 49%

50% to 59%

60% or more

26.6 %

19.3 %

10.7 %

12.0 %

5.6 %

7.3 %

3.4 %

15.0 %

Page 33: ACHA2007

57 Yes 219 No (skips to Q39)

Have you conducted a survey or other study in the past three years that identifies uninsured students?

Yes No (skips to Q39)

230

220

210

200

190

180

170

160

150

140

130

120

110

100

90

80

70

60

50

40

30

20

10

0

20.7 %

79.3 %

Page 34: ACHA2007

4 None4 1% to 2% 2 3% to 5% 6 6% to 10% 8 10% to 14%

11 15% to 19%7 20% to 24%6 25% to 32% 8 33%+

What percent of your student population is uninsured?

11109876543210

None

1% to 2%

3% to 5%

6% to 10%

10% to 14%

15% to 19%

20% to 24%

25% to 32%

33%+

7.1 %

7.1 %

3.6 %

10.7 %

14.3 %

19.6 %

12.5 %

10.7 %

14.3 %

Page 35: ACHA2007

187 Yes 90 No

Significant concerns for the under-insured student population (other than your student health insurance plan)

Yes No

200

190

180

170

160

150

140

130

120

110

100

90

80

70

60

50

40

30

20

10

0

67.5 %

32.5 %

Page 36: ACHA2007

47 Criteria in insurance requirement assures students have access health care62 Not encounter problems insured students relative to obtain health care services8 Other

If no, (please check all that apply).

100500

Criteria in insurance requirement assures students have access health care

Not encounter problems insured students relative to obtain health care services

Other

16.8 %

22.2 %

2.9 %

Page 37: ACHA2007

124 Have students deductible $1,000/ more not able pay health care expenses 159 Have students not adequate prescription drug coverage152 Have students not adequate mental health care coverage124 Have students not have adequate catastrophic coverage39 Other

If yes, (please check all that apply).

2001000

Have students deductible $1,000/ more not able pay health care expenses

Have students not adequate prescription drug coverage

Have students not adequate mental health care coverage

Have students not have adequate catastrophic coverage

Other

44.4 %

57.0 %

54.5 %

44.4 %

14.0 %

Page 38: ACHA2007

188 Yes 89 No

Prior to this survey aware ACHA’s standards for student health insurance/ benefit plans?

Yes No

200

190

180

170

160

150

140

130

120

110

100

90

80

70

60

50

40

30

20

10

0

67.9 %

32.1 %

Page 39: ACHA2007

113 I knew ACHA has such standards75 Institution discusses ACHA’s standards during SHIBP renewal7 Published declaration SHIBP complies with ACHA’s standards9 Other

If yes, (select all that apply).

100500

I knew ACHA has such standards

Institution discusses ACHA’s standards during SHIBP renewal

Published declaration SHIBP complies with ACHA’s standards

Other

40.5 %

26.9 %

2.5 %

3.2 %

Page 40: ACHA2007

166 Appropriate coverage preventive health services 163 Coverage for catastrophic illness or injury 160 Appropriate coverage for mental health care164 Minimization of pre-existing condition exclusions164 Coverage for spouses and children22 Do not offer a SHIB Plan

Check benefit design components of SHIBP complies with ACHA standards

180160140120100806040200

Appropriate coverage preventive health services

Coverage for catastrophic illness or injury

Appropriate coverage for mental health care

Minimization of pre-existing condition exclusions

Coverage for spouses and children

Do not offer a SHIB Plan

59.5 %

58.4 %

57.3 %

58.8 %

58.8 %

7.9 %