Opt-Out Applications

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

Fall Application Period

August 1st, 2024 to September 30th, 2024

Make sure to submit your form by September 30th as the online form won't be accessible after that date.

optoutOpt-Out Eligibility

There are 2 circumstances in which students enrolled in the Student Health and Dental Plan may opt out:

  1. When they are starting the fall term
  2. When they are new students in winter term
Opt-Out Eligibility

How to Opt Outhow-to-opt-out

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

Steps to Opt-Out
things-to-considerThings to Consider
  1. A parents' insurance plan could cease to provide coverage when a dependent student turns either 18 or 21, or up to 25 if you are studying full-time at a recognized education institution.
  2. You can combine two benefit plans to maximize your coverage, potentially reaching up to 100% coverage! Find out more Coordination of Benefits.
  3. Students with comparable coverage can choose to opt out of the health and dental plans, or if applicable, you may opt out of one coverage while keeping the other.
  4. Approval of the Student Benefits Plan Opt-Out application will result in the plan fee being refunded according to the applicable school's policy or school association's policy.
  5. 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.

Health and Dental Opt-Out Form

To Opt-Out of the Student Health and Dental Plan, provide us with the following information and we will process your application as soon as we can



Student Information

Date of Birth
Phone Number
Program Start Date

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

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

Plan Leaflet

Plan Leaflet
Get a summary of eligible expenses and maximum reimbursements of your Student Benefits Plan.

Prescription Search Tool

Prescription Search Tool
Find out if your prescription drugs are covered by the student plan