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The deadline has passed for both the September 2017 and January 2018 starts. Please stay tuned for the September 2018 Opt Out or Family Add On form.
Submission Deadline: 21 days after the start date of your program

To enroll in the Student FLEXible Benefits Plan, complete the sections below and submit this form. You will then be contacted by the Student Benefits Plan Office, via an email notification, of any required supporting documents and fees. All supporting document(s) and fees must be received by the applicable deadline in order for the enrollment process to be completed.

FLEXible Benefits
You have 4 Flex options available, if no option is selected you will be automatically enrolled in the Balanced Plan and cannot Flex your benefits until your next enrollment period. Should you choose to Flex your coverage, the selection you make will remain in effect for a minimum of two years, after which you choose to move back to the Balanced plan. Students choosing to Flex their Benefits must be enrolled in BOTH the health and dental plan.

Find out more information about your FLEXible options HERE.

Please read and agree to the Terms & Conditions prior to submitting this form.

Flex myBenefits

Should you choose to Flex your coverage, the selection you make will remain in effect for as long as you are enrolled in the Student Benefit Plan


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You can only choose one option

Opt In


Submission Deadline: 21 days after the start date of your program

Student Benefits Plan coverage is provided to eligible students automatically, except in certain circumstances where a student’s enrolment status excludes them from automatic inclusion by the institution or due to a previous opt-out form on file. To enroll in the Student FLEXible Benefits Plan, complete the sections below and submit this form. You will then be contacted by the Student Benefit Plan Office, via an email notification, of any required supporting documents and/or fees. All supporting document(s) and/or fees must be received by the applicable deadline in order for the enrolment process to be completed.

Please read and agree to the Terms & Conditions prior to submitting your online enrolment form.

You must only complete this form if you are in an eligible program and were not charged the fees or have opted out in the past.  

Student Information

Gender
Date of Birth
Phone Number
Program Start Date

Opt Out

Submission Deadline: 21 days after the start date of your program

Already have coverage? 

Coordinating multiple plans: If you are an eligible student and have comparable coverage you may wish to coordinate your plans. Benefits under the two plans can be coordinated to increase your coverage up to 100% of the actual expense(s) incurred. For example, following payment under this plan you can submit outstanding balances to the other plan for consideration. Find out more about coordination of benefits.

Opting Out of coverage: If you are an eligible student and have comparable health and/or dental coverage you may apply to opt-out of the plan(s). Each student is given one opportunity to opt-out of the health and/or dental plan(s) each year. All opt-out forms must be completed online and must be received by the applicable deadline. You will not be able to opt-out of coverage at any other point during the school year. NO EXCEPTIONS will be made if the deadline is missed. It is the student’s responsibility to pay the plan fees, should they miss the applicable opt-out deadline.

Approval of your opt-out will result in the plan fee being credited. Once your opt-out has been accepted, it will remain in force as long as you remain an eligible student.

If you are unsure about whether or not you are eligible for the Student FLEXible Benefits Plan, please contact the Student Benefits Plan Office prior to any applicable deadlines.

Please read and agree to the Terms & Conditions prior to submitting your online opt-out.

Student Information

Date of Birth
Phone Number
Program Start Date

Family Add On


Submission Deadline: 21 days after the start date of your program

Please note: Should a student enrolled in a flex plan add family to the coverage, the family members enrolled will receive the same flex plan option.

2018 - 2019 Family Add-On Fees:
Health (one or more dependent) $165.00
Dental (one dependent) $185.00
Dental (two or more dependents) $250.00

Coverage provided through the Student FLEXible Benefits Plan can be extended to a spouse and/or dependent(s). To add eligible dependent(s) complete the sections below and submit this form. You will then be contacted by the Student Benefit Plan Office, via an email notification, of any required supporting documents and fees. All supporting document(s) and fees must be received by the applicable deadline in order for the family add on process to be completed.

Please read and agree to the Terms & Conditions prior to submitting your online Family Add On form.

Student Information

Gender
Date of Birth
Phone Number
Program Start Date

Service Members


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