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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 re-enrolled? Eligible Students may submit their online forms.

Submitting Online Forms

Before submitting your online forms, please review the eligibility criteria and read the Terms and Conditions.

Opt-Out Application

If you are covered by a comparable Health and Dental Plan from parents, spouse, work, government, or band and do not wish to Coordinate Benefits, you may submit an online opt-out application.

Family Add-On Application

Extend your plan to your spouse or partner and children and provide the same protection you have. Additional charges must be paid using a credit card.

Re-enroll Application

If you previously opted out of the plan and have lost your comparable coverage, you may be re-enrolled in the Health and Dental Plan

Deadline

Deadline to submit applications

For example. If your program starts on September 6th, you may submit online forms before October 6th.