Student Health and Wellness

Member Number: DSUstudentID-00
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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.

Family Add-On Applications

Submit your health and/or dental family add-on application before the deadline.

Winter Application Period

January 19^th, 2025, to January 30^th, 2026 at 4:00 PM

Make sure to submit your form by January 30^th, 2026 at 4:00 PM as the online form will be accessible only to eligible students with lifestyle changes.

Your student account fees only cover you. If you wish the same coverage for your dependents, you can purchase additional coverage using a VISA or Mastercard credit card or a VISA Debit card.

Family Add-On Eligibility

There are 3 circumstances in which students enrolled in the Student Health and Dental Plan may add dependents to their plan: (1) when they are starting the fall term, (2) when they are new students, or (3) when they have a lifestyle change.

Family Add-On Eligibility

How to Add Family

To add dependents, you must be enrolled in the Student Benefits Plan, meet the Family Add-On eligibility criteria, and complete the online form before the applicable term deadline.

Steps to Add Dependents

Family Add-On Fees:

These are the fees to purchase family coverage, you must pay using a VISA or Mastercard credit card or a VISA Debit card before the applicable payment deadline.

Health and Dental fees:

Semester	One dependent	Two or more dependents
Fall	$461.23	$732.54
Winter	$406.97	$646.36

These are the current family Add-on fees. However, the fees are subject to change without notice.
The Family Add-on fees are non-refundable and are not automatically renewed.
The Family add-on fees cover your dependents until August 31^st. If you wish to keep your family covered, you must submit a new application before the applicable fall deadline.
The family Add-On fees are not assessed as part of your term fees. If your application is approved, the Benefits Plan Office emails you a link, the payment deadline, and instructions to pay online using a VISA or Mastercard credit card or a VISA Debit card.

Things to consider:

You can only add as a dependent to your Student Benefits Plan your spouse or common-law partner and your children. Parents, grandparents, and siblings do not qualify as dependents. Please check the eligible dependents.
Your dependents would be covered under your Student Benefits Plan, which means they would be entitled to the benefits you have through your plan.
The student needs to keep active in the plan to keep the family members coverage in force. If the student loses the coverage, the family loses the coverage too. The effective date of your coverage would be the 1^st day of the month when your program begins.
Each dependent added uses the same Benefits Card that the student has. The Benefits Card must have the student's information (Full name and student ID).
There is up to a 60-day validation period from the start of the program. 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.
Family Add-On fees are not automatically renewed every fall term. If students wish to keep the dependents covered, they must re-apply every fall.
NO EXCEPTIONS will be made if the application or payment is missed. It is the student's responsibility to check their emails regarding the status of the application or 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.

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

Questions? Please contact your Benefit Plan Office: info@thedsu.ca

The family add-on form is not accessible at this time.

The fall application period was from September 16^th to 29^th, 2025.

NO EXCEPTIONS are made if the deadline is missed.

Winter 2026: The online form will be available on January 19^th, 2026, and the application deadline is January 30^th, 2026. This deadline is only for new students in the winter term. Fall students submitting applications during the winter term will be denied.

Health and Dental Family Add-On Form

Please complete all information on the family add-on 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

Sex

Date of Birth

Date Month Field Date Day Field Date Year Field

Phone Number

Phone Area Number Phone Local Number Phone Digits

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Winter Deadline
Submit your online Family Add-On or Opt-In applications by January 30^th, 2026. This deadline applies only to new winter-eligible students.

Plan Card Registration Form
Register for your Plan Card and use it where direct billing to Green Shield Canada is available.

Your Benefits
Find out what your plan covers

Booklet
The booklet provides a summary of your benefits under your benefit plan.

Family Add-On applications are now closed

Family Add-On Applications

Winter Application Period

Family Add-On Eligibility

How to Add Family

Family Add-On Fees:

Health and Dental fees:

The family add-on form is not accessible at this time.

Health and Dental Family Add-On Form

The winter Family Add-On deadline is closed.

Student Information

Benefits Plan Office

Health and Dental Inquiries

Claim Inquiries