CSA & GSA | UGuelph - Enrollment 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.

Dental Enrollment Application

Deadline to enroll in the Student Dental Plan

Spring-summer - May 31^st, 2024

After the deadline, the online form is only available for students who have lost their comparable coverage.

Enrollment Eligibility

There are 3 circumstances in which students may enroll in the Dental Plan: (1) when they opted out and are starting the fall term, (2) when they opted out and are within 30 days of losing their alternate dental coverage, or (3) when they are May start eligible students.

Eligibility to Enroll

How to Enroll

To apply to enroll, you must be opted out of the Student Plan, meet the enrollment eligibility criteria, are eligible for the Student Plan, and complete the online form before the applicable term deadline.

Steps to 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 Plan - medical insurance premium fee and the Dental Plan fee on your student account to confirm you are enrolled.
Approval of the Dental Plan enrollment application will result in 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.

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

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

Ridgetown Campus Students - University of Guelph.

Please do not submit this form. If you attend the Ridgetown Campus and wish to apply, you must complete the online forms on the Ridgetown Campus Plan website.

The winter enrollment deadline is closed.

The winter deadline to apply was January 26^th, 2024. The online Enrollment Form is not available at this time. The online form was open from December 1^st, 2023, until January 26^th, 2024.

NO EXCEPTIONS will be made if the deadline is missed.

If you were eligible for the plan for the first time in the fall or winter term and missed the deadline, your next opportunity to apply should be the fall 2024 term.

The online form will be open for only new eligible students in the spring-summer term on April 1^st, 2024, and the deadline to apply is may 31^st, 2024.

The online form is only available for students who have lost their comparable coverage.

Eligibility Confirmation

Confirm your eligibility to enroll in the Student Dental Plan by completing the following questions.

Are you a NEW May student who has been assessed the Student Health Plan fee and wishes to enroll in the Student Dental Plan?

Yes

No

Have you ever Opted Out of the Student Dental Plan?

Yes

No

Have you lost your comparable dental Coverage?

Yes

No

You meet the eligibility criteria to enroll in the plan at this time.

Complete the online form below to submit your application. Completing the questionnaire does not mean that your application is approved, the Student Benefits Plan Office will confirm your eligibility and process your application.

There is a 45-day validation period from the start of the term. During this time, you would have to pay out of pocket for all eligible 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.

If your application is approved, the Student Benefits Plan Office will email you the assessed dental plan fees, a link to pay using a credit card, and the deadline to pay. In future years, the fee will automatically be assessed on your student account.

Once you submit the enroll form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting an enrollment request.

It appears you do not meet the criteria to enroll in the plan at this time.

Only students who previously opted out of the Dental Plan may apply to enroll.

All eligible domestic and international students enrolled in an eligible studies program, members of the Central Student Association as having part-time or full-time status or members of the Graduate Students' Association as having full-time status at the University of Guelph are automatically enrolled in the Student Benefits Plan. There is no opt-in option for students attending non-eligible programs.

If you have any questions, please initiate a chat by clicking on the right-bottom corner icon or contact the Benefits Plan Office by email at guelphplan@mystudentplan.ca or by phone at 519-824-4120 Extension 54798.

It appears you do not meet the criteria to enroll in the plan at this time.

Only Students who previously opted out of the Student Plan and have lost their comparable coverage may enroll at any time of year within 30 days of the loss of coverage.

The next opportunity to submit your online opt-out application would be in the upcoming fall term.

If you have any questions, please initiate a chat by clicking on the right-bottom corner icon or contact the Benefits Plan Office by email at guelphplan@mystudentplan.ca or by phone at 519-824-4120 Extension 54798.

Dental Re-Enroll or 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

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

Campus

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Spring-Summer Deadline
Submit your Opt-Out, Family Add-On, or Opt-In applications by May 31^st, 2024

Plan Card Generator
Generate your Plan Card and use it where direct billing to Canada Life is available.

Prescription Search Tool
Find out if your prescription drugs are covered by the student plan.

Plan Claims
Learn more about submitting online or manual claims to Canada Life to get your refund.

U of G CSA & GSA Benefits Plan Office

Email: guelphplan@mystudentplan.ca
Phone: 519-824-4120 extension 54798
Address: Level 1, University Centre
Room 108A
Guelph, ON. N1G 2W1

General Inquiries Line

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

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

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