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Family Coverage

Family Add On 

Fall 2022 Deadline: September 29, 2022

The fees on the student account are for the student only.
Students must pay the additional fees before the deadline to have their family members added onto the plan.

 

Family Add-On Fees:

ONE FAMILY MEMBER TWO OR MORE FAMILY MEMBERS
Health $180 Health $180
Dental $180 Dental $360
Health & Dental $360 Health & Dental $540
  • These fees are not included in your tuition, and you will pay them with a credit card on our website if your application is approved. 
  • The fees for Family Add-on are non-refundable.

Eligible dependents

Students can add the following dependents to their plan:

  • Spouse:  By marriage or under any other formal union recognized by law, or your common-law spouse of either sex who has cohabitated with the student minimum for one year. 
  • Children: Your natural children, stepchildren, legally adopted children, and children for whom you/and or your spouse have been appointed as guardian(s) for all purposed pursuant to an Order of the Court.
    • Unmarried
    • Under 21 years of age and not employed full-time
    • Under 25 years of age, if they are attending a college or university full-time, or
    • Physically or mentally incapable of self-support and became incapable to that extent while entirely dependent on the student for maintenance and support and while eligible under 1) or 2) above
 
Important notes:
  • You can only extend your plan to your spouse or partner and your children. Parents, Grandparents, Siblings are not eligible dependents to extend your plan. 
  • The family would be covered by the same plan the student has. If the student is enrolled in the Balanced Plan, the family would be in the Balanced Plan.
  • The Family would be covered for one year. The student needs to keep full-time status during two consecutive terms. If the student loses the coverage, the family loses the coverage too.
  • Family Add On requests & fees are not automatically renewed must be submitted/paid every year.
  • There is a 60 day validation period from the start of the term. 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.
  • Each family member can generate their own benefits card and included the student ID.  
  • The fees for Family Add-on are non-refundable.
  • NO EXCEPTIONS will be made if the application or payment deadline is missed.  
  • 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.

Steps to submitting your Family Add-On:

1Student Information
Complete this section below providing true and correct information.
Click NEXT.
2Dependent Information
Scroll down and check Spouse/Child/Children according to the members you wish to add. Provide full name, initial, gender and date of birth for each member. 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 complete your form.
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 and email with the status or your application.
6Pay fees online
If your application is approved, you will receive a link to pay the applicable fees with your credit card and the deadline to pay them.

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

Questions? Please contact your Benefit Plan Office: macewanplan@mystudentplan.ca



Student Information

Sex
Date of Birth
Phone Number
Program Start Date

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