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 Re-Enroll or Accessibility Opt-In Application

Only submit this form if you have previously opted out of the health & dental plan and wish to re-enroll in the plan. All new eligible students are automatically enrolled in the Health and Dental plan.

Eligibility Criteria

There are 2 circumstances for re-enrolling in the Student Health and Dental Plan:

1 Upon Policy Anniversary

All eligible students who previously opted out of the dental plan may submit applications if they wish to re-enroll in the Dental Plan in the following Fall semester.

The policy Anniversary for all eligible students is September 1st, please only complete this re-enroll form in the Fall term before the applicable fall deadline.

2 Loss of Comparable Coverage

Students who previously opted out of the benefits, have lost their comparable insurance coverage, and are still eligible for the plan may re-enroll in the student plan within 30 days of losing that coverage.

Proof of losing coverage must be sent to
after completing this form.

Documentation includes a letter from the insurance carrier or the employer stating the student's name, loss of coverage date, the insurance carrier's name & policy number.

Important notes:
  • All eligible students are automatically enrolled in the Student Health and Dental Plan and do not need to submit a Re-Enroll or Accessibility Opt-In form. You will see a health insurance fee and dental insurance fee on your student account to confirm you are enrolled.
  • There is a 60-day validation period from the start of the term. 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 for pharmacies and dental offices.
  • NO EXCEPTIONS will be made if the deadline is missed.
  • Once you complete the Re-Enroll or Accessibility Opt-In form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting a Re-Enroll or Accessibility Opt-In request.

Steps to Submitting a Re-Enroll or Accessibility Opt-In Application:

1Student Information
Complete this section below providing true and correct information. Click NEXT.
2Enrollment Circumstances
Scroll down and check Health Plan/Dental Plan/Qualify. You can choose Health or Dental or both plans. Select your status and Click NEXT.
3Read 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.
4Confirmation 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.
5Application Status
You will receive an email with the status of your application.
6Pay the Fees
If your application is approved, the fees will be included in the student account.

Add to your address book. Please do not reply to this email.

Questions? Please contact your Benefit Plan Office:

Health and Dental Re-Enroll or Accessibility Opt-In Form

Please complete all information on the re-enroll/Opt-In form and we will process your application as soon as we can.

Student Information

Date of Birth
Phone Number
Program Start Date

Ridgetown Campus Benefits Plan Office

Phone: 519-674-1500 Extension 63507
Address: D.J. Pestell Student Services & Alumni Centre
120 Main Street East
Room 128
Ridgetown, ON. N0P 2C0

General Inquiries Line

Monday to Friday from 8:00am to 7:00pm EST

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