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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 Application

Only submit this form if you have previously opted out of the health & dental plan and wish to re-enroll. 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 Academic Enrollment

Students who previously opted out of the benefits and are still eligible for the plan may re-enroll the plan at the anniversary term of starting their program before the applicable term deadline.

For example: If a student started the program in the winter term, the anniversary will be next winter term and only may submit applications in the winter term.

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.

Deadline to Submit Applications because of Academic Enrollment

Eligible students must submit their applications before the applicable term deadline. NO EXCEPTIONS will be made if the deadline is missed. Before submitting an application make sure that you meet the eligibility criteria above.

Winter 2023
January 27th, 2023

Spring 2023
May 12th, 2023

Summer 2023
July 5th, 2023

Fall 2023
September 22nd, 2023

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.

Important notes:
  • Eligible students are automatically enrolled in the Student Health and Dental Plan and do not need to submit a Re-Enroll form. You will see a health fee and dental fee on your student account to confirm you are enrolled.
  • The effective date of your coverage is the 1st day of the month when your program begins.
  • There is a 60-45-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.
  • NO EXCEPTIONS will be made if the deadline is missed.
  • 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.

Steps to Submitting a Re-Enroll 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-Enrollment Form

Student Information

Date of Birth
Phone Number
Program Start Date

SU Benefits Plan Office

Phone: 403-220-3906
Address: 2500 University Drive NW
MSC 352
Calgary, Alberta. T2N 1N4

General Inquiries Line

Monday to Friday from 6:00am to 5:00pm MST

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

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