Tyndale University - Family Add-On Form

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.

International Students Emergency Medical Plan and Extended Healthcare Benefits & Dental Family Add On

Spring deadline to submit applications
May 17^th, 2024

Eligible students may apply to add their dependents before the applicable term deadline; health and dental is a combined benefit.

Health and Dental insurance fees on the student account are for the student only. Students must apply and pay additional fees to have their family members added.

Eligibility Criteria

There are 2 circumstances for adding family members to the Student Health and Dental Plan:

1 Academic Enrollment

Eligible students who wish to extend their benefits to their dependents may apply by the applicable term deadline according to the university enrollment:

New Students: New eligible students who are automatically enrolled in the Student Plan.
Returning students: Returning eligible students on the anniversary of starting their program who are automatically enrolled in the Student Plan.
Bed Student: Bed students may be eligible to add family members to their plan. please email tyndaleplan@mystudentplan.ca for applicable details.

NO EXCEPTIONS will be made if you miss the term deadline, your next opportunity to add family members would be on the anniversary of starting your program. You will not be able to add on family at any other point during the school year.

2 Lifestyle Change

Students enrolled in the plan who have a lifestyle change such as getting married, meeting the twelve-month co-habitation requirement for common law status, or birth/adopting a child, who wish to extend their plan to their dependents may apply within 30 days of lifestyle change.

To apply, please email proof of Lifestyle Change to the Benefit Plan Office at tyndaleplan@mystudentplan.ca. If you are eligible to add family members, the office will send a link for the application.

Documentation includes a marriage certificate, birth certificate, or adoption documents.

Deadline to submit applications
within 30 days of lifestyle change

myCanadaPlan - International Students Emergency Medical Plan Fees:

International Emergency Medical Plan
One Dependent	$750.00
Two or more Dependents	$1,500.00

Please note: International students are required to purchase the International student emergency plan coverage for their dependents in order to purchase extended health benefits for their dependents.

mystudentPlan - Domestic and International Students Extended Healthcare Benefits & Dental Plan (combined) Fees:

ONE DEPENDENT
Health & Dental (Combined)	$570.00
TWO OR MORE DEPENDENT
Health & Dental (Combined)	$1,140.00

These fees are not included in your tuition, and you will pay them with a credit card on our website if your application is approved.
May DMin Term Family Addon Fees Cover 12 months of coverage.
Winter Term Family Addon Fees Cover 8 months of coverage.
The fees for Family Add-on are non-refundable.

Please note: All ONLINE FAMILY ADD ON SUBMISSION: Payable only by VISA OR MASTERCARD. IF YOU ARE NOT ABLE TO PAY BY VISA OR MASTER CARD, please contact tyndaleplan@mystudentplan.ca for arrangements to pay by DEBIT on campus with Tyndale University.

Important notes:

You can only extend your plan to your spouse or partner and your children. Parents, grandparents, and siblings are not eligible dependents to extend your plan. Please check the eligible dependents.
The family members would be covered by the same plan the student has.
The benefit year coverage is the same for students and family members.
- For eligible students starting in the May DMin Term: Coverage begins May 1^st and ends April 30^th.
- For eligible students starting in the August BEd Term: coverage begins August 1^st and ends July 31^st.
- For eligible students starting in the Sep UG & SG Term: coverage begins September 1^st and ends August 31^st.
- For eligible students starting in the Jan UG & SG Term: Coverage begins January 1^st and ends August 31^st.
Family Add On requests & fees are not automatically renewed. If students wish to keep the coverage, they must submit a new Family Add-On Application and must pay the additional fees every year by the applicable deadline. The form request deadline and the payment deadline are not the same. The payment deadline is set based on the day the request is approved.
There is a 45-day validation period from the start of the program. During this time, you would have to pay out of pocket for all eligible Extended Healthcare Benefits & 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.
Each family member uses the same card that the student has. The card must have the student's information (Student's full name and student ID).
The fees for Family Add-on are non-refundable.
NO EXCEPTIONS will be made if the application or payment deadline is missed. The form request deadline and the payment deadline are not the same. The payment deadline is set based on the day the request is approved. It is the student's responsibility to check their emails.
Once you submit the Family add-on form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting a family add-on request.

Steps to Submitting a Family Add-On Application:

1 Student Information

Complete this section below providing true and correct information. Click NEXT.

2 Dependent Information

Scroll down and check Spouse/Child/Children according to the members you wish to add. Provide full name, initials, gender, and date of birth for each member. Click NEXT.

3 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.

4 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.

5 Application Status

You will receive an email with the status of your application.

6 Pay Fees Online

If your application is approved, you will receive a link to pay the applicable fees with your credit card and the deadline to pay them.

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

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

International Students Emergency Medical Plan and Extended Healthcare Benefits & Dental Family Add-On Form

Please complete all information on the family add-on form and we will process your application as soon as we can.

Student Information

Student ID Number

Email Address

Confirm Email Address

First Name

Last Name

Sex

F

M

U

Date of Birth

Date Month Field Date Day Field Date Year Field

Phone Number

Phone Area Number Phone Local Number Phone Digits

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Tyndale U Benefits Plan Office

Email: tyndaleplan@mystudentplan.ca
Address: Weber Street North
Waterloo, Ontario. N2L 6J2

General Inquiries Line

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

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

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Online Forms

International Students Emergency Medical Plan and Extended Healthcare Benefits & Dental Family Add On

Eligibility Criteria

myCanadaPlan - International Students Emergency Medical Plan Fees:

mystudentPlan - Domestic and International Students Extended Healthcare Benefits & Dental Plan (combined) Fees:

Steps to Submitting a Family Add-On Application:

International Students Emergency Medical Plan and Extended Healthcare Benefits & Dental Family Add-On Form

The winter Family Add-On deadline is closed.

International Students Emergency Medical Plan and Extended Healthcare Benefits & Dental Family Add-On Form

Student Information

Tyndale U Benefits Plan Office

General Inquiries Line

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