Student Health and Wellness

Group number: 177866
Certificate Number: Student ID
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Call Centre: 1-866-586-1010
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Health and Dental Plan Coverage for prescription drugs, dental care, health services, and more, helping with costs your provincial health plan doesn’t cover.

Opt-Out Applications

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

Winter Application Period

December 1^st, 2025 to January 16^th, 2026

Make sure to submit your form by January 16^th 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.

Eligibility to Opt-Out

How to Opt Out

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

Steps to Opt-Out

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.
If you opt out of the dental plan, you are still considered to have access to dental insurance, which makes you ineligible for the Canadian Dental Care Plan (CDCP).
You can coordinate 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

The opt-out form is not accessible at this time.

The winter application period was from December 1^st, 2025 to January 16^th, 2026.

NO EXCEPTIONS are made if the deadline is missed. The student must pay the plan's mandatory fees, should they miss the applicable opt-out deadline.

Fall 2026: Online applications will open on August 1^st, and the deadline is September 19^th, 2026. This deadline applies to all eligible students.

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

Student ID Number

Email Address

Confirm Email Address

First Name

Last Name

Date of Birth

Date Month Field Date Day Field Date Year Field

Mailing Address

City

Province

Postal Code

Phone Number

Phone Area Number Phone Local Number Phone Digits

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Required Direct Deposit Information

Please enter your financial institution's Transit Number, Institution Number, and Account Number. (*mandatory fields)

** Please do not enter any dashes or spaces **

Transit #

Institution #

Account #

Winter Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by January 16^th, 2025. This deadline applies only to new winter-eligible students.