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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.

Health and Dental Re-Enroll Application

Only submit this form if you have previously opted out of the health and dental plan and wish to re-enroll. All new or returning eligible students are automatically enrolled in the benefit plan.

Eligibility Criteria

There are 2 circumstances for re-enrolling in the Student Health and Dental Plan:

1 Program Start Date

Eligible students who previously opted out of the benefits and are attending the school on the anniversary of starting their program and meet the eligibility criteria to be enrolled in the student plan may apply to re-enroll in the plan by the applicable term deadline.

2 Loss of Comparable Coverage

Eligible students who previously opted out of the benefits and have lost their comparable insurance coverage may re-enroll within 30 days of losing that coverage.

Proof of losing coverage must be sent to
mtroyalplan@mystudentplan.ca
after completing this form.

Documentation includes a letter from the insurance carrier or the employer stating the student's name, loss of coverage date, the insurance carrier's name & policy number.

Important notes:
  • Eligible new students and those who are returning to school from being part-time or taking time off are automatically enrolled in the Student Health and Dental Plan. You will see a health and dental fee in your detailed tuition fee in your MYMRU account.
  • The effective date of your coverage is the 1st day of the month when your program begins.
  • There is a 45-60 days validation period from the start of the term. During this time, you will 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 Plan Card will be automatically activated.
  • NO EXCEPTIONS will be made if the deadline is missed.
  • Once you complete the Opt-In form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting an Opt-In request.

Steps to submitting your Opt-In:

1Student Information
Complete this section below providing true and correct information. Click NEXT.
2Enrollment Circumstances
Scroll down and check Health Plan/Dental Plan/Qualify. You can choose Health or Dental or both plans. Select your status and 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 finish your application.
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 an email with the status of your application.
6Pay the Fees
If your application is approved, the fees will be included in the student account.

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

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

Health and Dental Re-Enrollment Form

Please complete all information on the re-enroll form and we will process your application as soon as we can.



Student Information

Sex
Date of Birth
Phone Number
Program Start Date

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