Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

 

Re-enroll Applications

Submit your health and/or dental re-enroll application before the deadline.

Fall Application Period

September 16th, 2024 to September 27th, 2024 at 4:00 PM

Make sure to submit your form by September 27th as the online form will be accessible only to eligible students who have lost their comparable coverage.

Eligibility Criteria

Only submit this form if you have previously opted out of the health and dental plan and wish to re-enroll or if you are non-automatically-eligible students and wish to opt-in to the plan.

All new or returning eligible students having 6 or more credits at Douglas College are automatically enrolled in the benefits plan.

There are 2 circumstances for re-enrolling and 1 circumstance for opting into the Student Health and Dental Plan:

1 Fall Semester

Students who previously opted out of the benefits and are attending the school in the fall semester and meet the eligibility criteria to be enrolled in the student plan may apply to re-enroll in the plan by the applicable fall deadline.

2 Loss of Comparable Coverage

Students who previously opted out of the benefits and have lost their comparable insurance coverage may re-enroll within 30 days of losing that coverage.

Proof of losing coverage must be sent to
info@thedsu.ca
after completing this form.

Documentation includes a letter from the insurance carrier or the employer stating the student's name, loss of coverage date, the insurance carrier's name & policy number.

3 non-automatically-eligible students

Part Time Students: Students attending the College in the Fall semester and enrolled in a minimum of 3 credits but fewer than 6 credits may opt-in to the Plan by the applicable semester deadline.

January Start Students: Students attending the College for the first time in the Winter semester and enrolled in a minimum of 3 credits may opt-in to the Plan regardless of the number of credits by the applicable winter deadline

Re-enroll or Opt-In Fees:

SEMESTER HEALTH AND DENTAL PLAN FEE
Fall $450.50
Winter $397.50
  • These are the current re-erroll or opt-in fee. However, the fees are subject to change without notice.
  • The re-erroll or opt-in cover 12 months of coverage for the fall semester applications and 8 months of coverage for the winter semester applications.
Important notes:
  • Eligible students having 6 or more credits at Douglas College are automatically enrolled in the Student Health and Dental Plan and do not need to submit an opt-in form. There will be a health fee and dental fee on your student account to confirm you are enrolled.
  • The effective date of your coverage is the 1st day of the month when your semester begins.
  • There is a 45-60-day validation period from the start of the semester. 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 Plan Card will be automatically activated.
  • NO EXCEPTIONS will be made if the deadline is missed.
  • Once you complete the Re-Enroll or 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 a Re-Enroll or Opt-In request.

Steps to Submitting a Re-Enroll or Opt-In Application:

1Student Information
Complete this section below providing true and correct information. Click NEXT.
2Enrollment 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 finish your application.
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 because of the program start date or eligible exclusions, the fees will be included in the student account. Otherwise, you will receive a link to pay the applicable fees with your credit card by the applicable deadline.

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

Health and Dental Re-Enroll or Opt-In Form

Please complete all information on the re-enroll form and we will process your application as soon as we can.



Student Information

Sex
Date of Birth
Phone Number
Program Start Date