Health and Dental Opt-Out Application
Winter deadline to submit applications
January 22nd, 2024
Eligible students who have comparable Health and Dental coverage may apply to opt out of the benefits before the applicable fall term deadline.
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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 & wellbeing?
- Does my existing coverage meet all of my needs?
- The only time you can re-enroll in the student plan is on the anniversary date of the term you opted out of the plan OR within 30 days of losing your comparable coverage.
Opt-Out Audit
If your application has been chosen for an audit, you will receive by email, a request from the benefit plan office to provide documentation to confirm your existing comparable Health and Dental coverage. Please provide the documentation only if you receive a request to do so. If you do not provide the supporting documentation by the deadline indicated on the email request, the opt-out application will not be processed.
Approval of the Students opt-out will result in the plan fee being refunded by cheque. The Opt-Out result is an annual process. This means students need to apply every year.
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 comparable 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 comparable 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.
Add donotreply@gallivan.ca to your address book. Please do not reply to this email.
Questions? Please contact your Benefit Plan Office: sahealthplan@rdpolytech.ca
The winter opt-out deadline is closed.
The winter deadline to apply was January 22nd, 2024. The online Opt-Out Form is not available at this time. The online form was open from December 1st, 2023, until January 22nd, 2024.
NO EXCEPTIONS will be made if the deadline is missed.
The online form will be open for all eligible students in the fall term on August 1st, 2024, and the deadline to apply will be posted soon.