NSCC - Family Add On Form

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 Family Add On

Deadline to submit application

Students starting in September must submit the Family Add-On form by October 5^th, 2023. Students starting in January must submit the Family Add-On form by February 5^th, 2024. Students starting their program at any other time of year, the deadline to complete a Family Add-On form is 30 days from their program start date.

Only new students, or returning students whose anniversary of enrollment is the current month who are active in the Student Plan may apply to extend their benefits to their dependents before the deadline.

The fees on the student account are for the student only. Students must pay the additional fees to have their family members added to the plan.

Eligibility Criteria

There are 2 scenarios for adding family members to the Student Health and Dental Plan:

1New Students

Students starting an eligible program and enrolled in the Health and Dental Plan who wish to extend their plan to their eligible family members may apply before the applicable deadline.

2Returning Students

Returning Students who are active in the Health and Dental Plan and wish to extend their plan to their eligible family members upon their benefit anniversary may apply before the applicable deadline.

Health and Dental Plan Family Add-On Fees:

ONE FAMILY MEMBER		TWO OR MORE FAMILY MEMBERS
Health	$150.00	Health	$220.00
Dental	$200.00	Dental	$280.00
Health & Dental	$350.00	Health & Dental	$500.00

International Emergency Health Insurance Plan Family Add-On Fees:

ONE FAMILY MEMBER		TWO OR MORE FAMILY MEMBERS
Emergency Health Insurance	$720.00	Emergency Health Insurance	$1,000.00

Health and Dental Plan and International Emergency Health Insurance Plan Family Add-On Fees:

ONE FAMILY MEMBER		TWO OR MORE FAMILY MEMBERS
Health	$150.00	Health	$220.00
Dental	$200.00	Dental	$280.00
Emergency Health Insurance	$720.00	Emergency Health Insurance	$1,000.00
Emergency Health Insurance and Health	$870.00	Emergency Health Insurance and Health	$1,220.00
Emergency Health Insurance and Dental	$920.00	Emergency Health Insurance and Dental	$1,280.00
Emergency Health Insurance and Health & Dental	$1,070.00	Emergency Health Insurance and Health & Dental	$1,500.00

These are the current International Emergency Health Insurance Plan Family Add-on fees. However, the fees are subject to change without notice.
These fees are not included in your tuition, and you will pay them with a credit card on our website if your application is approved.
The Family Add-on fees cover 12 months of coverage.
Health and Dental Plan or International Emergency Health Insurance Plan Family Add-On Fees are non-refundable.

Important notes:

You can only extend your plan to your spouse or partner and your children. Parents, grandparents, and siblings are not eligible dependents to extend your plan. Please check the eligible dependents.
Your family will have the same coverage as the student. The student and the family member do not share the coverage.
The family fees provide coverage for one year. The student needs to keep active in the plan for 12 months. If the student loses the coverage, the family loses the coverage too. The effective date of your coverage would be the 1^st day of the month when your program begins.
In order for international students to add their dependents to the Health & Dental Plans, they must be added to the Emergency Health Insurance Plan first.
Family Add-On requests & fees are not automatically renewed and must be submitted/paid every year.
There is a 45-60-day validation period from the start of the program. During this time, you would 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.
Each family member uses the same card that the student has. The card must have the student's information (full name and student ID).
The fees for Family Add-ons are non-refundable.
NO EXCEPTIONS will be made if the application or payment is missed. It is the student's responsibility to check their emails regarding the application.
International students who have missed the deadline to add dependents to their International Emergency Health Insurance plan have the option to purchase private coverage for their dependents. Please contact the Benefits Plan Office at nsccplan@mystudentplan.ca or 1-866-491-1624 for more information.
Once you complete the Family add-on form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting a Family Add-on request.

Steps to submitting your Family Add-On:

1 Student Information

Complete this section below providing true and correct information. Click NEXT.

2 Dependent Information

Scroll down and check Spouse/Child/Children according to the members you wish to add. Provide full name, initials, gender, and date of birth for each member. Click NEXT.

3 Read 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.

4 Confirmation 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.

5 Application Status

You will receive an email with the status of your application.

6 Pay Fees Online

If your application is approved, you will receive a link to pay the applicable fees with your credit card and the deadline to pay them.

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

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

Health and Dental Family Add-On Form

Complete all information on the family add-on 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

Sex

Date of Birth

Date Month Field Date Day Field Date Year Field

Phone Number

Phone Area Number Phone Local Number Phone Digits

Campus

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Online Forms Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications within 30 days from the start date of your program.

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.

NSCC Benefits Plan Office

Email: nsccplan@mystudentplan.ca
Phone: 902-491-1624
Toll Free: 1-866-491-1624
Address: Institute of Technology Campus
Room A-282.3, A-Wing, 2nd Floor
(across from Student Services)
5685 Leeds Street
Halifax, NS. B3K 2T3

General Inquiries Line

Monday to Friday from 10:00am to 9:00pm AST

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

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