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The Fall 2021 deadline is September 30, 2021 to Opt Out, FLEX your plan, Add-on Family or Re-enrol. The link to submit your requests will re-open in August 2021.

FLEXible Benefits Plan FAQ's

The Student FLEXible Benefits Plan allows you to choose coverage to suit your needs. Below is a summary of the coverage options available. All eligible students are provided with a Balanced Coverage, and you can choose to stay in the balanced plan or “Flex” to a coverage package that better suits your individual situation. You have one opportunity each year during your enrolment period or the anniversary of you first enrolment period to Flex your benefits. To Flex you benefits you must complete the Opt-out/Enroll form and submit it prior to the applicable deadline. All eligible students are automatically enrolled in the Balanced Plan.

FLEXible Benefits Plan FAQs

What is a Benefits Flex Plan?
A Benefits Flex Plan provides plan members with insurance coverage while allowing individuals to choose a coverage that best suits a personal situation. In the case of a Student FLEXible Benefits Plan, the options are based on a base plan (called the Balanced Plan), and only the defined options are available.

Why a Benefits Flex Plan?
To provide students with supplemental health & dental insurance that can be customized to an individual’s situation or needs.

Who is eligible for the SAMU Student FLEXible Benefits Plan?
Any students who are eligible for the SAMU Student FLEXible Benefits Plan are able to choose a Flex option. All eligible students are automatically enrolled in the Balanced Plan.
How much does it cost to flex my benefits?
The Student FLEXible Benefits Plan has been created so that all coverage options are provided at the same cost. There is no additional fee to Flex your plan, the Student Fee you pay with your tuition covers the cost of your coverage.

How and when can choose a Flex option?
You can choose a Flex option in the semester you become eligible for the Plan or on at the beginning of the Benefit Year (September 1). There is an enrolment change deadline and all forms must be submitted prior to the deadline.

Can I change my Flex option?
If you choose a FLEXible Benefit option your selection will remain in force for a minimum of 2 plan years. Following 2 plan years you may elect to change to the Balanced plan. If you do not select the Balanced Plan at that time, you will remain enrolled in your FLEXible option.

If I add my Family, how does Flex impact their coverage?
If you enroll eligible family members into the Plan(s), the coverage provided to family members will be based on the same plan that the student is enrolled in. Any coverage maximums apply to each individual in the family.

Flex Enrollment 2

To enroll in the Student FLEXible Benefits Plan, complete the sections below and submit this form. The Student will then be contacted by the SAMU Benefit Plan Office, via email, of any required supporting documents and fees. All supporting document(s) and fees must be received by the applicable deadline in order for the enrollment process to be completed.

FLEXible Benefits

Students have 4 Flex options available, if no option is selected the Student will be automatically enrolled in the Balanced Plan and cannot Flex their benefits until their next enrollment period. Should the Student choose to Flex their coverage, the selection they make will remain in effect for a minimum of two years, after which the Student can choose to move back to the balanced plan. Students choosing to Flex their Benefits must be enrolled in BOTH the health and dental plan.

Find out more information about your FLEXible options at mystudentplan.ca/MacEwan. Please read and agree to the Terms & Conditions prior to submitting this form.

Have a safe and healthy year!

Thank you

SAMU Student Benefits Plan Office
10850-104 Ave NW
SA-109A SAMU Building
Edmonton, Alberta T5H 0S5
Phone: 780-497-4675 ♦ Email: macewanplan@mystudentplan.ca

Flex myBenefits

Should you choose to Flex your coverage, the selection you make will remain in effect for as long as you are enrolled in the Student Benefit Plan

Balanced Plan

(click for details)

No Action Required

Flex
Drug & Parameds
(click for details)

These are myBenefits

Flex
Vision & Parameds
(click for details)

These are myBenefits

Flex
Dental
(click for details)

These are myBenefits

You can only choose one option

Opt In

All eligible students are automatically enrolled in the Balanced Benefit Plan & you do not need to enroll.

If a student has successfully completed an opt-out but requires re-enrolment into the plan there are 2 opportunities to do so:

1) Upon Program Start Date Anniversary: For students starting in September the anniversary would be the following September prior to the applicable deadline. For students starting in January the anniversary would be the following January prior to the applicable deadline.

2) Lifestyle Change: There are certain circumstances known as lifestyle changes that allow a student to make changes to their enrolment status within 30 days of the change date. Lifestyle changes include; getting married, meeting the twelve-month co-habitation requirement for common law status, birth/adoption of a child, meeting provincial plan residency requirements and losing their alternate coverage.

Students who lose their comparable coverage may opt back into the Student Benefit Plan(s), if they are within 30 days of losing coverage. If a student has lost their comparable coverage, they must provide documentation of loss by submitting a letter from either the insurance carrier or employer stating the date coverage ends, the carrier name and policy number.

Student Health and Dental 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. The Student will then be contacted by the Benefit 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 for the enrolment process to be completed.
Please read and agree to the Terms & Conditions prior to submitting your online Enrolment Form.

Have a safe and healthy year!

Thank you

SAMU Student Benefits Plan Office
10850-104 Ave NW
SA-109A SAMU Building
Edmonton, Alberta T5H 0S5
Phone: 780-497-4675 ♦ Email: macewanplan@mystudentplan.ca

Student Information

Student ID Number

Email Address

Confirm Email Address

First Name

Last Name

Gender

FMU

Date of Birth

Date Month Field Date Day Field Date Year Field

Phone Number

Phone Area Number Phone Local Number Phone Digits

Campus

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Opt Out

When considering opting-out of your coverage, keep in mind the following:

-A parent's insurance plan will stop covering you completely if you’re a part-time student over 21 or a full-time student over the age of 25.
-In order to cover all of your needs you can combine your student Health Plan with another plan for up to 100% coverage. To get more information about coordinating your benefits with another plan, read through here: Coordination of Benefits
--Does my existing coverage meet all the needs that I may have?
--What is in the best interest of my overall health and well-being?

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:

Students are given 1 opportunity at the start of their academic year to opt-out of the health and/or dental plan(s). If you previously opted out, you do not need to opt out as your opt out will carry forward each year, if they remain an eligible student.

Fall Term-September: All students who have comparable health and/or dental coverage may apply to opt-out of the Student Health and/or Dental plan(s) and must be received prior to the applicable deadline. The student will not be allowed to opt-out at any other time during that year.

Winter Term-January: ONLY new registered student who have comparable health and/or dental coverage may apply to opt-out of the Student Health and/or Dental plan(s) and must be received prior to the applicable deadline.

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.

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

If you are unsure if you are eligible, to confirm the applicable deadline or if you have any questions regarding the Student Health and Dental Plan, please contact the Student Benefit Office.

Have a safe and healthy year!

Thank you

SAMU Student Benefits Plan Office
10850-104 Ave NW
SA-109A SAMU Building
Edmonton, Alberta T5H 0S5
Phone: 780-497-4675 ♦ Email: macewanplan@mystudentplan.ca

Health Plan: Do you wish to Opt-Out of this portion of the Student Benefit Plan?

YesNo You cannot waive the health plan if you have selected a Flex Option

Required Information About the Extended Health Insurance You Have Now

Insurance Company

Policy Number

Your Relationship to the Plan Member of the Extended Health Insurance you have now:

ParentSpouseSelf

Required Direct Deposit Information

Please enter your financial institution's Transit Number, Institution Number, and Account Number. (*mandatory fields)

** Please do not enter any dashes or spaces **

Transit #

Institution #

Account #

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. The Student will be contacted via email by the Benefit Plan Office 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. The Student must also be enrolled in the Student Health and Dental Plan.

IMPORTANT: The fees for Family Add-on are in addition to the student health and dental fee.

Spouse Eligibility

Spouse is defined as your spouse by marriage or under any other formal union recognized by law, or your common-law spouse.

Common-Law Spouse is a person who has been living with you in a conjugal relationship continuously for a period of not less than one year or who is the natural or adoptive parent of a child of who you are also the parent.

Spouse means the person who is a resident of Canada, and who is married to the student or a person of either sex who have been continuously cohabitating with the student for a period of at least one year and who is publicly represented as the student’s wife or husband.

Dependent Children Eligibility

Children are defined as 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. NOTE: if the child is your stepchild or your spouse’s adopted child or a child for whom your spouse has been appointed guardian, both your spouse and the children must reside with you full-time. In addition, the child must be:

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

NOTE: Parents, Grandparents, Siblings are not eligible dependents.

2021 - 2022 Family Add-On Fees:
Health (one or more dependent)    $180.00
Dental (one dependent)                $180.00
Dental (two or more dependents)   $360.00

Please read and agree to the Terms & Conditions prior to submitting your online Family Add-On form.

Have a safe and healthy year!

Thank you

SAMU Student Benefits Plan Office
10850-104 Ave NW
SA-109A SAMU Building
Edmonton, Alberta T5H 0S5
Phone: 780-497-4675 ♦ Email: macewanplan@mystudentplan.ca