Forms

Students who are assessed the fees for the Fall 2022 term, and miss the September 30 deadline, will not be able to opt out in January.

If you have any questions, you are welcome to contact NAITSA using the LiveChat feature at naitsa.ca, or email studentplans@nait.ca.

 

OPT OUT

NOTE: Alberta/Provincial health care 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.

If you successfully submitted the form, you will receive an automatic email confirming your submission that includes your confirmation number.

Approval of the Student's opt-out will result in the plan fee being credited/or refunded according to the school's policy, and will remain in force even 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

NAITSA Service Hub (Room O108)
11762 - 106 Street NW
Edmonton, Alberta T5G 3H4
Phone: 780-471-7730
Email: studentplans@nait.ca

OPT IN

In order to opt back into the plan, students are required to opt into both health and dental unless they have coverage for one or the other (alternate proof of coverage is required).

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 the Fall term, the anniversary would be the following Fall term prior to the applicable deadline. For eligible students starting in the Winter term, the anniversary would still be considered the following Fall term.

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, 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 (opt-out) on file. To enroll in the Student Health and/or Dental plan, complete the sections below and submit this form. The Student will then be contacted by the Benefit Plan Office via email regarding any required supporting document(s) 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!

NAITSA Service Hub (Room O108)
11762 - 106 Street NW
Edmonton, Alberta T5G 3H4
Phone: 780-471-7730
Email: studentplans@nait.ca

FAMILY ADD-ON

Coverage provided through the Student Health and Dental Plan can be extended to dependents (spouse and/or children). To add an eligible dependent(s), complete the sections below and submit this form. The Student will be contacted via email by the Benefit Plan Office for any required supporting documents and fees. All supporting document(s) and fees must be received by the applicable deadline for the family add-on process to be completed.

IMPORTANT! The Student must also be enrolled in the Student Health and Dental Plan. The fees for Family Add-on are in addition to the individual health and dental fees posted on the Student's NAIT account.

NOTE: Parents, grandparents, and siblings are not eligible dependents.


Spouse Eligibility

Spouse is defined as the Student's spouse by marriage, or under any other formal union recognized by law, or the Student's common-law spouse.

Common-Law Spouse is a person who has been living with the Student 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 whom the Student is 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 is 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.


Children Eligibility

Children are defined as the Student's natural children, stepchildren, legally adopted children, and children for whom the Student and/or the Student's spouse have been appointed as guardian(s) for all purposes pursuant to an Order of the Court.

NOTE: If the child is the Student's stepchild, or the Student's spouse's adopted child, or a child for whom the Student's spouse has been appointed guardian, both the Student's spouse and the children must reside with the Student 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 post-secondary institution 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 the first two points above.

2022-2023 Family Add-on Fees:

Health (one or more dependents)              $230.00
Dental (one dependent)                                $265.00
Dental (two or more dependents)               $390.00

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


Have a safe and healthy year!

NAITSA Service Hub (Room O108)
11762 - 106 Street NW
Edmonton, Alberta  T5G 3H4
Phone: 780-471-7730
Email: studentplans@nait.ca