Student Health and Wellness

Group ID: 635957
Certificate ID: Student ID
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Health and Dental Plan Coverage for prescription drugs, dental care, health services, and more, helping with costs your provincial health plan doesn’t cover.

RE-Enroll Applications

Submit your health and/or dental re-enroll application before the deadline.

Winter Application Period

December 1^st, 2025 to January 20^th, 2026

Make sure to submit your form by January 20^th as the online form will be accessible only to eligible students who have lost comparable coverage.

Re-Enroll Eligibility

There are 2 circumstances in which students who opted Out of the Student Health and Dental Plan may Re-Enroll: (1) when they opted out of the Student Benefits Plan and are enrolled on the anniversary of starting an eligible full-time program, and (2) when they have lost comparable Health and Dental coverage.

Eligibility to Re-Enroll

How to Re-Enroll

To apply to Re-Enroll, you must be opted out of the Student Benefits Plan, meet the re-enroll eligibility criteria, are eligible for the health and dental plan, and complete the online form before the applicable deadline.

Steps to Re-Enroll

Things to consider:

All eligible students are automatically enrolled in the Student Health and Dental Plan and do not need to submit an opt-in form. You will see the Health and Dental Plan fees on your student account to confirm you are enrolled.
If you do not meet the eligibility criteria to be automatically enrolled in the student plan, please do not complete this form. There is no opt-in to the student plan.
Students can choose to re-enroll in the Health, dental or both plans.
Approval of the Student Benefits Plan re-enrollment application will result in the Health Plan Fee and/or the Dental Plan Fee being assessed. You will receive an email informing you how to pay the fees.
NO EXCEPTIONS will be made if the application or payment is missed. It is the student's responsibility to check their emails regarding the status of the application or deadlines.
Once you complete the Re-enroll 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 request.

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

The re-enroll form is not accessible at this time.

The fall application period was from August 1^st to September 25^th, 2025.

NO EXCEPTIONS are made if the deadline is missed. The student must pay the plan's mandatory fees, should they miss the applicable opt-out deadline.

Winter 2026: The online applications will open on December 1^st, 2025, and the application deadline is January 20^th, 2026. This deadline applies only to new winter-eligible students or returning students who started their studies in the winter term. Applications from other students will be rejected.

Extended Healthcare Benefits & Dental Plan Re-Enroll Form

Please complete all information on the re-enroll 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

Re-Enroll applications are now closed

RE-Enroll Applications

Winter Application Period

Re-Enroll Eligibility

How to Re-Enroll

The re-enroll form is not accessible at this time.

Extended Healthcare Benefits & Dental Plan Re-Enroll Form

Student Information

Benefits Plan Office

Health and Dental Inquiries

Claim Inquiries

International Medical Plan Inquiries