Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

 

Health and Dental Opt-Out Application

Deadline to submit applications
30 days from the official start date of your program.

Only new students or returning students whose anniversary of enrollment is the current month may apply to opt out of the Student Health and Dental Plan before the deadline.

Eligibility Criteria

There are 2 circumstances for Opting Out of the Student Health and Dental Plan:

1 New Students

Students starting an eligible program and qualifying for the plan who have comparable Health and Dental coverage from their parents, spouse, government, job, or band may apply by the applicable deadline.

2 Returning Students

Returning Students enrolled in their anniversary of starting an eligible program and qualify for the plan who have comparable Health and Dental coverage from their parents, spouse, government, job, or band may apply by the applicable deadline.

Deadline example for new and returning students:

If your program starts on September 6th, you may submit an online application before October 6th. If you miss the deadline, your next opportunity to Opt-Out would be next September.

Things to consider when thinking of opting out:

  • A parents' insurance plan will stop covering you if you are a part-time student over the age of 21 or a full-time student over the age of 25.
  • You can coordinate 2 benefit plans and increase your coverage up to 100%! Find out more Coordination of Benefits
  • What is in the best interest of my overall health and well-being?
  • Does my existing coverage meet all my needs?
  • The only time you can get back on this student plan is at the anniversary of starting your program (every year) OR within 30 days of losing your comparable coverage.

Opt-Out Audit

If your application has been chosen for an audit, you may be asked by email to provide documentation of your existing coverage to confirm that you are already covered with comparable Health and Dental Plan. Please do not email any documentation to our offices until you receive an email request.

Important notes:
  • Alberta Health Care Insurance Plan (AHCIP) or The Student Plan is not acceptable as comparable insurance coverage.
  • Students with comparable coverage can choose to opt out of health, dental, or both.
  • The comparable coverage accepted could be from parents, spouse, work, government, or band.
  • Approval of the student's opt-out will result in the plan fee being credited according to the school's policy. Opt-outs will carry over each consecutive year the student is eligible for the plan. This means students do not need to apply every term or year.
  • 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.
  • Once you complete the opt-out form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting an opt-out request.

Steps to Submitting a Health and Dental Opt-Out Application:

1 Student Information
Complete this section below providing true and correct information. Click NEXT.
2 Health Plan Opt-Out
Scroll down and check yes/no if you wish to opt-out of the health portion of the student plan. Provide the alternate insurance company name and policy number. Click NEXT.
3 Dental Plan Opt-Out
Scroll and check yes/no if you wish to opt out of the dental portion of the student plan. Provide the alternate insurance company name and policy number. Click NEXT.
4 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.
5 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.
6 Application status
You will receive an email with the status of your application.

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

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

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

Date of Birth
Phone Number
Program Start Date