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Opt-Out

Opt Out

NOTE: AB/Provincial Healthcare is not acceptable as alternate coverage.

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: Eligible students who have comparable health and/or dental coverage may apply to opt-out of the Student Health and/or Dental plan(s). The student is given one (1) 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. The Student 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 the Students opt-out will result in the plan fee being credited/or refunded according to the school's policy and will remain in force if the Student remains eligible.

If you are unsure if you are eligible for the Student Health and Dental plan, please contact the Benefit Plan Office prior to the applicable deadline.

Please read and agree to the Terms & Conditions prior to submitting your online opt-out.

Have a safe and healthy year!

Thank you

LCSA Student Benefit Plan Office
Room CE1350
3000 College Drive South
Lethbridge, AB T1K 1L6
P: 403-320-3202 Ext 5310 or 1-877-746-5566 Ext: 7249
Email: lethbridgeplan@mystudentplan.ca

Student Information

Date of Birth
Phone Number
Program Start Date

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