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The myBenefits Card is an important piece of identification that will ease access to your benefits. All eligible students must complete the myBenefits Card Registration Form. This multi-purpose card provides your policy information for submission of claims at both the Pharmacy and the Dental Office.

To obtain your myBenefits Card you must first register for BC Fair Pharmacare. Once your registration is completed simply complete the form below.

Downloading the myBenefits Card does not confirm eligibility or benefits coverage. Please contact the BCITSA Health & Dental Plan Office to confirm your enrolment in the plan.

Please note: If you select to ​pick up your myBenefits Card in the BCITSA Health & Dental Plan Office, please allow 2 business days for processing, before going to the office.

Student Information

Gender
Date of Birth
Phone Number
Program Start Date
 
  • British Columbian Students - Please list your BC Fair PharmaCare Number
  • Out of Province Students - Please list your home province
  • International Students - Please list your country of residence
Please indicate how you would like to access your benefits card


Enrolment in the Student Health and Dental plan not guaranteed by submitting this form; The Student must be eligible for the program. Should you have any questions regarding the enrolment process please contact the BCITSA Health & Dental Plan Office prior to submitting this form.

I understand the information provided above is required in order to obtain the said pay direct drug card. I hereby authorize and consent to the use, release, and exchange of the above information between the institution, the student organization, the Student Service Co-ordinator, Gallivan & Associates, BCE Emergis Assure Health Division, and the insurance carrier(s) to be used solely in connection with the Student Benefits Plan. I confirm that all the information provided herein is accurate. I also understand that the Student Service Coordinator may need to notify the institution to find out whether or not I have paid for the plan.

Opt Out


Already have coverage?

Coordinating multiple plans: If you are an eligible student and have comparable coverage you may wish to coordinate your plans. Benefits under the two plans can be coordinated to increase your coverage up to 100% of the actual expense(s) incurred. For example, following payment under this plan you can submit outstanding balances to the other plan for consideration. Find out more about coordination of benefits.

Opting Out of coverage: If you are an eligible student and have comparable health and/or dental coverage you may apply to opt-out of the plan(s). Each student is given one opportunity to opt-out of the health and/or dental plan(s) each year, which is 30 days from the official start date of your program. All opt-out forms must be completed online or through the BCITSA Health & Dental Plan Office and must be received by the applicable deadline. You will not be able to opt-out of coverage at any other point during the school year. NO EXCEPTIONS will be made if the deadline is missed. It is the student's responsibility to pay the plan fees, should they miss the applicable opt-out deadline.

Approval of your opt-out will result in the plan fee being credited. Once your opt-out has been accepted, it will remain in force as long as you remain an eligible student.

If you are unsure about whether or not you are eligible for the Student Health and Dental plan, please contact the BCITSA Health & Dental Plan Office prior to any applicable deadlines.

Please read and agree to the Terms & Conditions prior to submitting your online opt-out.

Student Information

Date of Birth
Phone Number
Program Start Date

Family Add On


Each year, you are given one opportunity to purchase family coverage for your spouse and/or dependent(s) by completing an application form at the BCITSA Health & Dental Plan Office and paying the family coverage fee. All family add-on forms and applicable fees must be received no later than 30 days after the start of your program. Your family can only be covered while you are a student on the plan(s).

Please note: Your optional family add-on is not automatically renewed. In order for your family add-on to continue, you must purchase the coverage each benefit year before the applicable deadline. FAMILY ADD-ON FEES ARE NON-REFUNDABLE.

Spouse means the person who is a resident of Canada, and who is married to the student, or a person of either sex who has continuously co-habitated with the student for a period of at least one year and who is publicly represented as the student's wife or husband.

Dependent means an unmarried child who is a resident of Canada, and entirely dependent on the student for maintenance and support, and who is:
1) under 21 years of age,
2) under 25 years of age and attending a college or university full-time, or
3) physically or mentally incapable of self-support and became incapable to that extent while entirely dependent on the student for maintenance and support and while eligible under 1) or 2) above.

IMPORTANT: These fees are in addition to the student health and dental fee.

2018 - 2019 Family Add-On Fees:
Health (one or more dependent) $120.00
Dental (one dependent) $120.00
Dental (two or more dependents) $240.00

Coverage provided through the Student Health and Dental plan can be extended to a spouse and/or dependent(s). To add eligible dependent(s) complete the sections below and submit this form. You will then be contacted by the BCIT Student Benefits Plan Office, via an email notification, of any required supporting documents and fees. All supporting document(s) and fees must be received by the applicable deadline in order for the family add on process to be completed.

Please read and agree to the Terms & Conditions prior to submitting your online Family Add-On form.

Student Information

Gender
Date of Birth
Phone Number
Program Start Date

Opt In


If a student has successfully completed an opt out but requires re-enrolment into the plan there are 2 opportunities to do so:

1) Upon Policy Anniversary: For students starting in September the anniversary would be the following September prior to the applicable deadline. For students starting in January the anniversary would be the following January prior to the applicable deadline.

2) Lifestyle Change: There are certain circumstances known as lifestyle changes that allow a student to make changes to their enrolment status within 30 days of the change. Lifestyle changes include; getting married or meeting the twelve month co-habitation requirement for common law status, birth/adoption of a child, meeting provincial plan residency requirements and losing their alternate coverage.

Students who lose their comparable coverage may opt back into the plan(s), provided that they are within 30 days of losing coverage. If a student has lost their comparable coverage they must show documentation of loss by submitting a letter from either the insurance carrier or employer.

Student Benefits Plan coverage is provided to eligible students automatically, except in certain circumstances where a student's enrolment status excludes them from automatic inclusion by the institution or due to a previous opt-out on file. To enrol in the Student Health & Dental plan, complete the sections below and submit this form. You will then be contacted by Gallivan & Associates, via an email notification, of any required supporting documents and fees. All supporting document(s) and fees must be received by the applicable deadline in order for the enrolment process to be completed.

Please read and agree to the Terms & Conditions prior to submitting your online Enrolment Form.



Student Information

Gender
Date of Birth
Phone Number
Program Start Date

Service Members


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