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This document includes both health insurance requirements and a verification checklist, vital for compliance with 22 CFR Part 62.14. By completing and signing this form, prospective participants affirm their understanding and acceptance of the relevant rules and regulations, ensuring that their chosen health insurance aligns with the necessary requirements of BridgeUSA administered by FUSIA.

Returnwww.fusia.net/healthproof1
Part A Program Rules
Sign the last page to confirm acknowledgement and acceptance

1 Compliance. Program sponsors must ensure that participants have medical insurance that meets the Department of State’s requirements specified in 22 CFR Part 62.14. Before issuance of Form DS-2019, participants must provide evidence to FUSIA that their intended insurance coverage conforms to DOS requirements, obtain FUSIA’s approval, and acknowledge the applicable rules and regulations. After issuance of Form DS-2019, and before the visa interview, participants must provide proof of purchasing the appropriate insurance that covers their entire stay in the US at least 72 hours before the visa interview (or before entry to the US for Canadian citizens).

2 Entry and exit coverage. FUSIA mandates entry-to-exit insurance coverage, which requires that the insurance policy’s start date matches the participant’s US entry date, and the policy’s end date should be on or after the day they plan to depart the US after the program. Before purchasing flight tickets, participants have the option to align their insurance coverage period with the program period, and later update it to match their flight itinerary by providing supporting evidence at least 72 hours before attempting to enter the US. In addition, participants must provide a copy of their entry-to-exit itinerary to ensure that their insurance coverage aligns with their travel plans. In the event that a participant’s host offers health insurance coverage for the program period, the participant has the option to forego purchasing insurance for the entire program period and submit evidence of qualified coverage for the first three months 72 hours before arriving in the US.

3 Submissions. There are four document submissions related to health insurance compliance. PDF #13 (this form) confirms that participants are aware of and accept the related rules. PDF #15 is to support that the insurance they intend to purchase meets the requirements. It can be an official letter issued by the insurance provider explicitly confirming that their policy meets the requirements or proof screenshots of relevant rules from such policy benefit summaries. In either case, they should contain or be annotated with the eight requirements stated in PDF #13. For PDF #15, subscribers of TaiAn may submit a pre-written letter, which can be downloaded from the participant’s panel. PDF #14 is the actual proof of coverage, generally called a certificate of insurance, that contains the insured name, coverage period, and plan name and details. PDF #36 is the flight itinerary issued by the airline or travel agent that shows arrival and departure dates. This is used to verify that insurance covers the entire time while participating in the US.

5 During programs. While the program is ongoing, participants are responsible for ensuring that they maintain continued qualified coverage during their stay in the US, including immediately before and after the program period. In the event that participants want to make changes to their initially approved insurance plan, they must complete and resubmit PDFs #13 and #15 and obtain approval before doing so. If they did not purchase insurance for the whole period before arrival, they are required to submit PDF #14 at least 72 hours before it expires. If participants wish to delay their exit from the US or make any changes to their original itinerary, they must submit updated PDFs #14 and #36 and obtain approval before doing so.
Related topicsTaiAn InsuranceTaiAn LetterInsurance Information (by DOS)