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PLEASE NOTE: The Opt In form is not only for individual enrollment but also for Flex plan.

Family Add On


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 SABVC 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


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 waiver on file.

There are 2 opportunities for students to complete an enrolment request:

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. For students starting in May the anniversary would be the following May 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.

It is the student's responsibility to complete the Individual Enrollment form and provide payment of the applicable fee(s) prior to the deadline.

For more information on re-enrolment please contact the SABVC Student Benefits Plan Office. Please read and agree to the Terms & Conditions prior to submitting this form.

Enrolment Circumstances



 

Opt Out


Already have coverage?

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 (New students - must opt-out within 30 days of the start of their program. Returning students - may opt-out on the one year anniversary of their program start date.

All opt-out forms must be completed online 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 benefit plan fees as part of their overall payment to the registrar's office.

Opt-Out Approval
Approval of your opt-out will result in the plan fee being credited using the same method that the student used to pay their fees. For example: Fees paid by credit card - refund will be credited to the same credit card used to pay your fees Fees paid by cheque or student loan - refund will be mailed out to the student to the address on record with the registrar's office.

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 SABVC Student Benefit Plan Office prior to any applicable deadlines.

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.

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

Service Members


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