Student Health & Wellness!mystudentplan is a benefits plan for students and can provide coverage for prescription drugs, vision care, dental care, mental health counseling, and more. The plan is designed to supplement provincial health insurance and provide additional access to medical services.

 

Online Forms

Are you covered by a comparable plan? Do you wish to cover your dependents? Or have you opted out of the plan and wish to be re-enrolled? Eligible Students may submit their online forms.

Opt-Out Applications

Submit your health and/or dental opt-out application before the deadline.

Fall Application Period

August 1st, 2024 to September 18th, 2024

Make sure to submit your form by September 18th as the online form won't be accessible after that date.

Opt-Out Eligibility

There are 2 circumstances in which students enrolled in the Student Health and Dental Plan may opt out: (1) when they are starting the fall term or (2) when they are new students.

How to Opt Out

To apply to Opt-Out, you must be enrolled in the Student Plan, meet the eligibility criteria, have proof of comparable coverage, and complete the online form before the applicable deadline.

Things to consider:
  • A parents' insurance plan ceases coverage until you turn either 18 or 21, or up to 25 if you are studying full-time at a recognized education institution.
  • You can combine two benefit plans to maximize your coverage, potentially reaching up to 100% coverage! Find out more Coordination of Benefits.
  • Students with comparable coverage can choose to opt out of the health, dental, or both plans.
  • Approval of the Student Benefits Plan Opt-Out application will result in the plan fee being refunded according to the school's policy.
  • NO EXCEPTIONS will be made if the deadline is missed. It is the student's responsibility to pay the plan's mandatory fees, should they miss the applicable opt-out deadline.

Add donotreply@gallivan.ca to your address book. Please do not reply to this email.

Questions? Please contact your Benefit Plan Office: boothplan@mystudentplan.ca

Health and Dental Opt-Out Form

Please complete all information on the opt out form and we will process your application as soon as we can.



Student Information

Date of Birth
Phone Number
Program Start Date