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Individual Enrolment

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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 Office of the Registrar, 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 enrolment process to be completed.  The deadline for completing this form is on the your plan anniversary or 30 days after losing comparable coverage.  

Please read and agree to the Terms & Conditions prior to submitting your online Enrolment Form.

If your financial situation makes it difficult to pay fees, KPU and the KSA have programs that can assist. There is assistance through KPU Student Awards and Financial Assistance, including emergency bursaries, emergency loans and fee deferral.

The KSA also has a Health & Dental  Hardship Bursary, please see the policy for more details - download the application HERE

Student Information

Date of Birth
Phone Number
Program Start Date

Service Members

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