Menumenu button

Online Forms

All new eligible students are automatically enrolled in the Balanced Health and Dental Plan. Students who are starting or on the anniversary of starting their program may submit online forms before the applicable deadline. Students must read and agree to the Terms and Conditions agreement before completing the forms.

Due to the high volume of online applications, it may take a few minutes for the following pages to load after clicking the "Next" or "Submit" buttons. Thank you for your patience.

Individual Insurance

Are you not eligible for the Student Plan?

If you are not automatically enrolled in the student plan or have missed the enrolment period to add family to the student plan, there are personal insurance solutions available.

My personal insurance solutions from mystudentplan.ca

Our personal insurance solutions fit the needs of individuals who are not eligible for the extended health and dental coverage through a Student Plan. This may apply to you because you may not be included through the established group plan eligibility criteria, or you may be changing enrolment status, graduating, or leaving school. There are many coverage and enrolment options at cost effective rates, including options that do not require any medical questionnaires or exams to qualify for coverage.

Personal Insurance Scenarios

  • I am losing mystudentplan
    I am graduating or leaving school and want information on purchasing personal insurance.
  • I don’t have mystudentplan
    I am not eligible to have mystudentplan and want information on purchasing personal insurance. This option also applies to students who missed the opt-in deadline for their student plan.
  • I want to cover my family
    I missed the deadline to add family to mystudentplan and want information on purchasing personal insurance for my family.
  • I have other insurance & financial needs
    I have other personal insurance needs outside the previous options listed and want to discuss them with an advisor. This option also applies to individuals looking for travel insurance.

The personal insurance solutions are offered in partnership with Canada Life through their PlanDirect™ individual insurance products.

Flex your Health and Dental Plan

Spring-Summer Deadline: June 3rd, 2022 30 days from the start of the term

Only new students or returning students whose anniversary of enrollment is the current term who have never flexed the plan may apply to flex your plan before the deadline.

All eligible students are automatically enrolled in the Balanced plan, so they do not need to apply to keep their Balanced Plan.

Eligibility Criteria

There are 2 scenarios for flexing your plan and suit your Health and Dental needs:

1New Students
Students starting an eligible program as having full-time status who wish to suit their needs by choosing a FLEXible Plan offered by the Association may apply within 30 days from the start date of the term.
2Returning Students
Returning Students enrolled in their anniversary of starting an eligible program as having full-time status who wish to suit their needs by choosing a FLEXible Plan offered by the Association and have never flexed the plan may apply within 30 days from the anniversary of starting their program.

FLEXible plan options

The Students' Association offers 3 Health and Dental Plans to help students to suit their needs. All eligible students are enrolled by default in the Balanced Plan. However, Students have the following options to flex their plan at no additional charges:

  • FLEXible Drug & Parameds
  • FLEXible Vision & Parameds
  • FLEXible Dental

Want to know what the flex plan options cover? See details for the flex options.

No additional charge to Flex your Plan.

Important notes:
  • Students can Flex their benefit plan only once during their program. Once their Flex plan is approved, it will remain in effect for future terms.
  • If you started your program in a different term than the current one, your request to flex your plan will not be approved at this time. Your next opportunity to flex your plan would be the next anniversary of the start date of your program.
  • There is a 60 day validation period from the start of the term. Your flex plan option will be not reflected on your account until the end of the validation period.
  • If the student extends the plan to the family, the family will have the same plan that the student has chosen.
  • Students choosing to Flex their Benefits must be enrolled in BOTH the Health and the Dental plan.
  • NO EXCEPTIONS will be made if the deadline is missed.
  • Once you complete the Flex your Plan form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting a Flex your Plan request.

Steps to submitting your Flex your Plan:

1Choose your Plan
Select your preferred plan that best suits your needs.
Click NEXT.
2Student Information
Complete this section below providing true and correct information.
Click NEXT.
3Read and Agree to the Terms and Conditions
Click on the checkbox to indicate that you agree to the Terms and Conditions agreement.
Click SUBMIT to complete your form.
4Confirmation Email
Check your email and verify if you have received the confirmation email.
If you do not receive this email, you must resubmit the form.
5Application Status
You will receive and email with the status or your application.
6Activation of the Plan
The plan that you chose, will be activated at the end of the validation period (60 days after the start of the term).

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

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



Flex myBenefits

Should you choose to Flex your coverage, the selection you make will remain in effect for as long as you are enrolled in the Student Benefit Plan


(click for details)

(click for details)

(click for details)

(click for details)



You can only choose one option

Health and Dental Opt-In

Spring-Summer Deadline: June 3rd, 2022 30 days from the start of the term

Only returning students whose anniversary of enrollment is the current term or who have a lifestyle change who previously opted out of the plan may apply to opt-in to the plan before the deadline.

All new eligible students are automatically enrolled in the Student Health and Dental plan, so they do not need to apply for coverage.

Eligibility Criteria

There are 3 scenarios for re-enrolling into the Student Health and Dental Plan:

1Program Start Date
Students who previously opted out of the benefits may re-enroll into the plan at the anniversary term of starting their program before the applicable deadline:
  • Winter enrollment: Students starting in January have a winter deadline
  • Spring-Summer enrollment: Students starting in May have a spring deadline
  • Fall enrollment: Students starting in September have a fall deadline
2Loss of Comparable Coverage
Students who have lost their comparable insurance coverage may apply within 30 days of losing that coverage. You must provide the proper documentation and complete the online form. Documentation includes a letter from the insurance carrier or the employer stating the students' name, loss of coverage date, the carrier's name, and policy number. This documentation must be emailed to bowvalleyplan@mystudentplan.ca
3Lifestyle Change
Students who previously opted out of the benefits may re-enroll in the plan if they have a lifestyle change within 30 days of the change date. There are certain circumstances known as lifestyle changes such as getting married, meeting the twelve-month co-habitation requirement for common law status, birth/adoption of a child, and meeting provincial plan residency requirements that allow students to apply. You must provide the proper documentation and complete the online form. Documentation includes a marriage certificate, birth certificate or adoption documents. This documentation must be emailed to bowvalleyplan@mystudentplan.ca

Opt-In to the Plan Tutorial

Watch the video below about how to re-enroll to the plan.

Important notes:
  • All eligible students are automatically enrolled in the Student Health and Dental Plan and do not need to submit an opt-in form. You will see a health fee and dental fee on your student account to confirm you are enrolled.
  • If you started your program in a different term than the current one, your request to opt in will not be approved at this time. Your next opportunity to opt-in would be the next anniversary of the start date of your program.
  • The effective date of your coverage is the 1st day of the month when your term begins. For Spring-Summer term is May 1st, 2022.
  • There is a 60-day validation period from the start of the term. During this time, you would have to pay out of pocket for all eligible Health and Dental expenses and keep the receipts. After the enrollment process is complete, you will be able to submit online claims for reimbursement and your benefits card will be automatically activated.
  • NO EXCEPTIONS will be made if the deadline is missed. It is the student's responsibility to check their BVC emails regarding deadlines.
  • Once you complete the Opt-In form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting an Opt-In request.

Steps to submitting your Opt-In:

1Student Information
Complete this section below providing true and correct information.
Click NEXT.
2Enrolment Circumstances
Scroll down and check Health Plan/Dental Plan/Qualify. You can choose Health or Dental or both plans. Select your status and Click NEXT.
3Read and Agree to the Terms and Conditions
Click on the checkbox to indicate that you agree to the Terms and Conditions agreement.
Click SUBMIT to complete your form.
4Confirmation email
Check your email and verify if you have received the confirmation email.
If you do not receive this email, you must resubmit the form.
5Application status
You will receive an email with the status of your application.
6Pay the fees
If your application is approved, the fees will be included in the student account.

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

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



Student Information

Sex
Date of Birth
Phone Number
Program Start Date

health and Dental Family Add On

Spring-Summer Deadline: June 3rd, 2022 30 days from the start of the term

Only new students or returning students whose anniversary of enrollment is the current term who are active in the Student Plan may apply to extend their benefits to their dependents before the deadline.

The fees on the student account are for the student only. Students must pay the additional fees to have their family members added to the plan.

Eligibility Criteria

There are 2 scenarios for adding family members to the Student Health and Dental Plan:

1New Students
Students starting an eligible program as having full-time status who wish to extend their plan to their eligible family members may apply within 30 days from the start date of the term.
2Returning Students
Returning Students enrolled in their anniversary of starting an eligible program as having full-time status who wish to extend their plan to their eligible family members may apply within 30 days from the anniversary of starting their program.

Family Add-On Fees:

ONE FAMILY MEMBER TWO OR MORE FAMILY MEMBERS
Health $180 Health $180
Dental $180 Dental $360
Health & Dental $360 Health & Dental $540
  • These fees are not included in your tuition, and you will pay them with a credit card on our website if your application is approved.
  • The Family add-on fees cover 12 months of coverage.
  • The fees for Family Add-on are non-refundable.

Eligible dependents

Students can add the following dependents to their plan:

  • Spouse: By marriage or under any other formal union recognized by law, or your common-law spouse of either sex who has cohabitated with the student minimum for one year.
  • Children: Your natural children, stepchildren, legally adopted children, and children for whom you/and or your spouse have been appointed as guardian(s) for all purposes under an Order of the Court.
    • Unmarried
    • Under 21 years of age and not employed full-time
    • Under 25 years of age, if they are attending a college or university full-time, or
    • 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

Family Add-On Tutorial

Watch the video below about how to extend your plan to your eligible dependents.

Important notes:
  • If you started your program in a different term than the current one, your request to add family will not be approved at this time. Your next opportunity to extend your plan would be the next anniversary of the start date of your program.
  • You can only extend your plan to your spouse or partner and your children. Parents, Grandparents, and Siblings are not eligible dependents to extend your plan.
  • The family would be covered by the same plan the student has. If the student is enrolled in the Balanced Plan, the family would be in the Balanced Plan.
  • The family fees provide coverage for one year. The student needs to keep the full-time status for two consecutive terms. If the student loses the coverage, the family loses the coverage too. The effective date of your coverage would be the 1st day of the month when your term begins. For Spring-Summer term is May 1st, 2022.
  • Family Add On requests & fees are not automatically renewed and must be submitted/paid every year.
  • There is a 60-day validation period from the start of the term. During this time, you would have to pay out of pocket for all eligible Health and Dental expenses and keep the receipts. After the enrollment process is complete, you will be able to submit online claims for reimbursement and your benefits card will be automatically activated.
  • Each family member can generate their own benefits card. The card must have the student's information (Full name and student ID).
  • The fees for Family Add-on are non-refundable.
  • NO EXCEPTIONS will be made if the application or payment is missed. It is the student's responsibility to check their BVC emails regarding deadlines.
  • Once you complete the Family add-on form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting a family add-on request.

Steps to submitting your Family Add-On:

1Student Information
Complete this section below providing true and correct information.
Click NEXT.
2Dependent Information
Scroll down and check Spouse/Child/Children according to the members you wish to add. Provide full name, initials, gender, and date of birth for each member. Click NEXT.
3Read and Agree to the Terms and Conditions
Click on the checkbox to indicate that you agree to the Terms and Conditions agreement.
Click SUBMIT to complete your form.
4Confirmation email
Check your email and verify if you have received the confirmation email.
If you do not receive this email, you must resubmit the form.
5Application status
You will receive an email with the status of your application.
6Pay fees online
If your application is approved, you will receive a link to pay the applicable fees with your credit card and the deadline to pay them.

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

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



Student Information

Sex
Date of Birth
Phone Number
Program Start Date

Health and Dental Opt-Out

Spring-Summer Deadline: June 3rd, 2022 30 days from the start of the term

Only new students or returning students whose anniversary of enrollment is the current term may apply to opt out of the Student Health and Dental Plan before the deadline if they have comparable health &/or dental coverage.

Eligibility Criteria

There are 2 scenarios for Opting Out of the Student Health and Dental Plan:

1New Students
Students starting an eligible program as having full-time status who have comparable Health and Dental coverage from their parents, spouse, government, job, or band may apply to opt out of the plan within 30 days from the start date of the term.
2Returning Students
Returning Students enrolled in their anniversary of starting an eligible program as having full-time status who have comparable Health and Dental coverage from their parents, spouse, government, job, or band may apply to opt-out of the plan within 30 days from the anniversary of starting their program.

Things to consider when thinking of opting out:

  • A parents' insurance plan will stop covering you if you are a part-time student over the age of 21 or a full-time student over the age of 25.
  • You can coordinate 2 benefit plans and increase your coverage up to 100%! Find out more coordination of benefits
  • What is in the best interest of my overall health & wellbeing?
  • Does my existing coverage meet all of my needs?
  • The only time you can get back on this student plan is at the start of next year OR within 30 days of losing your alternate coverage.

Opt-out of the plan Tutorial

Watch the video below about how to Opt-Out of the health and dental plan.

Important notes:
  • If you started your program in a different term than the current one, your request to opt out will not be approved at this time. Your next opportunity to opt out would be the next anniversary of the start date of your program.
  • Alberta Health Care or The Student Plan is not acceptable as comparable insurance coverage.
  • Students with comparable coverage can choose to opt out of health, dental, or both.
  • The comparable coverage accepted could be from parents, spouse, work, government, or band.
  • Approval of the Students opt-out will result in the plan fee being refunded according to the school's policy. The Opt-Out result is a one-time process. This means students do not need to apply every term or year.
  • 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.
  • Once you complete the opt-out form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting an opt-out request.

Steps to submitting your Health and Dental Opt-Out:

1Student Information
Complete this section below providing true and correct information.
Click NEXT.
2Health Plan Opt-Out
Scroll down and check yes/no if you wish to opt-out of the health portion of the student plan. Provide the alternate insurance company name and policy number. Click NEXT.
3Dental Plan Opt-Out
Scroll and check yes/no if you wish to opt out of the dental portion of the student plan. Provide the alternate insurance company name and policy number. Click NEXT.
4Read and Agree to the Terms and Conditions
Click on the checkbox to indicate that you agree to the Terms and Conditions agreement.
Click SUBMIT to complete your form.
5Confirmation email
Check your email and verify if you have received the confirmation email.
If you do not receive this email, you must resubmit the form.
6Application status
You will receive an email with the status of your application.

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

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



Student Information

Date of Birth
Phone Number
Program Start Date

Service Members


Find a Practitioner/Pharmacy