International Terms and Conditions

INTERNATIONAL STUDENT/STAFF OPT-IN EMERGENCY PLAN TERMS & CONDITIONS: (myCanadaPlan, Select Opt-In Emergency Health Insurance plan)

Submission of an online form indicates:
· an understanding that it is solely the responsibility of the student whose name and identification number (The Student or Staff) is on the form to ensure that the form has been received by the benefit office representative;
· an understanding that the information provided is required in order to fulfill the purpose of the form;
· authorization and consent to the use, release and exchange of said information between the educational institution, the student organization, the plan broker, third party service providers and the insurance company(s) to be used solely in connection with the administration of the insurance Plans;
· confirmation that all the information provided is accurate; and
· that additional terms as indicated below by type of form also apply

Falsification of any information provided by The Student is an act of fraud.

INTERNATIONAL STUDENT EMERGENCY PLAN OPT-IN FORM: The International Student or Staff acknowledges the intention to enrol in the International Opt-In Emergency Health Insurance plan. The Student or Staff acknowledges that the International Opt-In Emergency Health Insurance Plan is only 2 or 3 month purchase terms, unless otherwise requested; payment is required in full for the duration purchased. The Student or Staff must acknowledge that they do not have access to provincial coverage and possess a valid study permit or valid work permit for the duration of time required for study period or work placement. The Student or Staff understands that a copy of the valid work or study permit are required with the online form to be confirmed with the affiliated organization. The Student or Staff understands that this must be provided by the applicable deadline.

The Student or Staff understands that this opt-in is for the current period of study or work placement in the academic term only for which they are enrolled or placed. The Student or Staff must submit a new opt-in at the end of the duration of term purchased by completing a new online opt-in form; i.e. 2 or 3 month terms. The Student or Staff acknowledges this period of coverage, consecutively, does not exceed 12 months for each enrolled or placement period. The Student or Staff acknowledges that as a result of the opt-in the student does not qualify for provincial health coverage. The Student or Staff realizes that they will not be able to rejoin this plan in the event they obtain provincial coverage and if there duration for the next period of study is greater than 12 months in the current academic year.

INTERNATIONAL EMERGENCY PLAN OPT-IN DEADLINE: The opt-in deadline dates are established by the Administrator. The Student or Staff will be able to Opt-In within 10 days of your confirmed registration or employment/placement date. Once purchase of the International Emergency Health Insurance Opt-In Plan has been made there are no refunds as this is a non-refundable purchase. It is The Student or Staff’s responsibility to pay the plan fees.

INTERNATIONAL STUDENT EMERGENCY PLAN OPT-IN EMAIL CONFIRMATION: You will receive a reply email confirmation after you complete and submit this online International Emergency Health Insurance Opt-in form. Please retain a copy of the email confirmation for your records. The email confirmation is your ONLY proof that you applied to opt-in for the International Health Emergency Insurance plan, myCanadaplan Select coverage. If you do not receive a confirmation email, please contact the infoselect@mystudentplan.ca.

INTERNATIONAL STUDENT EMERGENCY PLAN ONLINE OPT-IN AUDIT: You will be asked to supply and validate information or documentation to obtain the myCanadaPlan Select Emergency Health Insurance Opt-In plan coverage. You will be asked to provide proof of registration, valid study permit/student visa or work permit as it relates to your individual situation with each application or renewal.

INTERNATIONAL EMERGENCY OPT-IN PLAN ENROLMENT FORM: The Student or Staff understands that in order to enroll family on the Opt-In Emergency Health Insurance plan, The Student or Staff must be enrolled in this plan. Your family can only be covered while you are a student or staff on this plan(s) for the applicable duration. The student or Staff dependents must be submitted in the initial online opt-in form submitted by you, by the applicable deadline. The deadline will be provided is within 10 days of your confirmed registration or employment/placement date. The Student or Staff understands that the family coverage provided to the plans will need to be renewed at the same time as the Student or Staff each term. Family fees as part of the full amount due are non-refundable.

The Student or Staff understands that the information requested is required to provide the same coverage received as a student to spouse and/or dependent(s). The Student or Staff has the authority to provide such information and authorizes the use of the information provided where it is required in the administration of the insurance benefits. The Student understands that in order to receive coverage for an eligible spouse or dependent(s) the appropriate fee must be paid. The Student or Staff agrees to pay the appropriate fees for the coverage requested prior to the applicable deadline.

The Student or Staff confirms that the individual(s) for whom coverage is being requested qualify based on the eligible definitions of spouse or dependent.

Definition of Spouse: Spouse means the person who is a resident of Canada, and who is married to The Student, or a person of either sex who has continuously co-habitated with The Student for a period of at least 12 months and who is publicly represented as The Student's wife or husband.

Definition of Dependent(s): Dependent means an unmarried child who is a resident of Canada, and entirely dependent on The Student for maintenance and support, and who is:
1) under 21 years of age, CONFIRM.
2) under 25 years of age and attending a college or university full-time, or
3) 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.

Family Enrolment is not guaranteed by submitting this form; the applicant must be eligible for the program and the appropriate fees must be paid.

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