Stanford University 보험회사 : Cardinal Care

1. Annual deductible less the $1,000 USD                                                       Yes_____ No_____

   (If a foreign currency applies, please indicated the applicable amount)

2. Lifetime Benefit (complete a or b):
a. Lifetime aggregate maximum benefit of at least $2,000,000 USD               Yes_____ No_____
(If a foreign currency applies, please indicated the applicable amount)
b. Maximum per condition/per lifetime benefit of at least $500,000 USD        Yes_____ No_____
(If a foreign currency applies, please indicated the applicable amount)

3. Covers inpatient and outpatient medical care in the San Francisco Bay Area        Yes_____ No_____

    in the U.S.

4. Covers inpatient and outpatient mental health care in the San Francisco             Yes_____ No_____

    Bay Area in the U.S.

5. Covers Prescriptions                                                                                   Yes_____ No_____

6. Covers non-emergency as well as emergency care                                           Yes_____ No_____

7. Pre-existing condition (complete a or b)
a. Policy covers pre-existing conditions                                      Yes_____ No_____
b. The insured individual has met applicable waiting periods                           Yes_____ No_____

Although not required by Stanford University, the U.S. Department of State requires that J-1 visa holders have an

insurance policy with minimum coverage of $7,500 for repatriation of remains and $10,000 for medical

evacuation.