SAMRU - Online Forms

Student Health & Wellness!mystudentplan is a benefits plan for students and can provide coverage for prescription drugs, vision care, dental care, mental health counseling, and more. The plan is designed to supplement provincial health insurance and provide additional access to medical services.

Online Forms

Are you covered by a comparable plan? Do you wish to cover your dependents? Or have you opted out of the plan and wish to be re-enrolled? Eligible Students may submit their online forms.

Submitting Online Forms

Before submitting your online forms, please review the eligibility criteria and read the Terms and Conditions.

The fallwinter term deadline to submit online forms is September 27^th, 2024was January 26^th, 2024.

Opt-Out Application

Withdraw from the student benefits plan If you have coverage from a comparable Health and Dental Plan and do not wish to coordinate benefits.

Opt-Out Eligibility

Direct Deposit

Update your direct deposit information if you have previously opted out of the student benefits plan and have changed your banking information to make sure that you get the opt-out refund.

Direct Deposit Form

Family Add-On Application

Extend your student benefits plan to your dependents by purchasing coverage to provide them with the same Health and Dental benefits.

Family Add-On Eligibility

Re-Enroll Application

Re-enroll in the student benefits plan if you previously opted out or lost your comparable insurance coverage and are still eligible for the plan.

Re-Enroll Form

Fall Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by September 27^th, 2024

Plan Card Generator
Generate your Plan Card and use it where direct billing to Canada Life is available.

Prescription Search Tool
Find out if your prescription drugs are covered by the student plan.

Plan Claims
Learn more about submitting online or manual claims to Canada Life to get your refund.

SAMRU Benefits Plan Office

Email: mtroyalplan@mystudentplan.ca
Phone: 403-440-6267
Address: Room Z001, Wyckham House
4825 Mount Royal Gate SW
4500-50 Street
Calgary, Alberta. T3E 6K6

General Inquiries Line

Monday to Friday from 6:00am to 5:00pm MST

Phone: 1-877-746-5566 Ext. 7249

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