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The deadline has passed for May 2018 starts.  Please stay tuned for the September 2018 Opt Out or Family Add On form.

Opt-Out of Student Insurance:
Fall intake students only.

This will close September 30, 2018 at 11:59PM EST.

Should you have any questions, please contact the Georgian College SA Student Benefits Plan Office before submitting an opt-out request.

*All requests are audited to protect the integrity of the online opt-out.


Already have coverage?

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.

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. 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 plan fees, should they miss the applicable opt-out deadline.

Approval of your opt-out will result in the plan fee being reimbursed. 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 Georgian College SA Student Benefits Plan Office prior to any applicable deadlines.


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

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 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. IMPORTANT: These fees are in addition to the student health and dental fee. 


Fall 2018 Family Fees (12 Month Fee):
Health and Dental (one or more dependent)  $489.07
Health only (one or more dependent) $243.74
Dental only (one or more dependent) $245.33

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

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Some things to read before continuing:





- The September and January deadlines have passed.

- Only complete the form if you have lost your alternative coverage in the last 30 days. Proof will be required at this time.

- If you are a full-time student, the coverage is automatic within your tuition fee and you are not required to complete this form.

- Please contact the Benefit Plan Office should you have any questions, prior to submitting the form.


 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. To enroll in the Student Health and/or Dental plan(s), complete the sections below and submit this form. You will then be contacted by the Georgian College SA Benefits Plan Office, via an email notification, of any required supporting documents and/or fees. All supporting document(s) and/or fees must be received by the applicable deadline in order for the enrolment process to be completed.

You are only required to submit this form if you have previously opted out of the health and/or dental plan and wish to re-enrol, or you qualify based on an approved exception from the Georgian College SA Benefits Plan Office. 

Please read and agree to the Terms & Conditions prior to submitting your online enrolment form.

Student Information

Gender
Date of Birth
Phone Number
Program Start Date

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