Student Health and Wellness

Group number: 159908
Certificate Number: Student ID
FAQ
Call Centre: 1-866-586-1010
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Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

Opt-Out Applications

Submit your health and/or dental opt-out application before the deadline.

Application Deadline

14 days from the official start date of your program

Make sure to submit your form within 14 days from the start date of your program as applications received after the deadline will be denied.

Opt-Out Eligibility

New students, or those on the anniversary of their enrollment, have the option to opt out based on personal choice before the deadline. For example, if your program begins on September 6^th, you can submit an online application to opt out before September 20^th. If you miss this deadline, your next opportunity to opt out will be the following September.

How to Opt Out

To apply to Opt-Out, you must be enrolled in the Student Benefits Plan, meet the eligibility criteria, and complete the online form before the applicable deadline.

Steps to Opt-Out

Things to consider:

A parents' insurance plan ceases coverage until you turn either 18 or 21, or up to 25 if you are studying full-time at a recognized education institution.
You can coordinate two benefit plans to maximize your coverage, potentially reaching up to 100% coverage! Find out more Coordination of Benefits.
Students can choose to opt out of the health, dental, or both plans.
Approval of the Student Benefits Plan Opt-Out application will result in the plan fee being refunded according to the school's policy.
NO EXCEPTIONS will be made if the deadline is missed. It is the student's responsibility to pay the plan's mandatory fees, should they miss the applicable opt-out deadline.

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

Questions? Please contact your Benefit Plan Office: students.association@norquest.ca

Eligibility Confirmation

Confirm your eligibility to opt out of the Student Benefits Plan by completing the following questions.

Are you a new student who has been assessed the Health and Dental Plan fees on your student account?

Yes

Health and Dental Opt-Out Form

Please complete all information on the opt out form and we will process your application as soon as we can.

Student Information

Student ID Number

Email Address

Confirm Email Address

First Name

Last Name

Date of Birth

Date Month Field Date Day Field Date Year Field

Phone Number

Phone Area Number Phone Local Number Phone Digits

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

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 #

Online Forms Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications within 14 days from the start date of your classes.

Benefit Cards
Get your Benefits Card on your Benefits App and use it where direct billing 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 get your refund.

Benefits Plan Office

Email: students.association@norquest.ca
Phone: 780-644-6250
Address: 1-114, 10215 108 Street NW, NorQuest College - Singhmar Centre for Learning.
Edmonton, Alberta T5J 1L6, CA

General Inquiries Line

Monday to Friday
from 6:00am to 5:00pm MST
Phone: 1-866-586-1010