Student Health and Wellness

Group Number: 330820
Certificate Number: Student ID
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Call Centre: 1-866-586-1010
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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.

Dental Opt-Out Applications

Submit your dental opt-out application before the deadline. The Student Health Plan is mandatory. Therefore, there is no Health Plan Opt-Out.

Winter Application Period

December 1^st, 2025 to January 23^rd, 2026

Make sure to submit your form by January 23^rd as the online form won't be accessible after that date.

There is no opt-out form available during the spring-summer term.

Opt-Out Eligibility

There are 2 circumstances in which students enrolled in the Student Dental Plan may opt out: (1) when they are starting the fall term, or (2) when they are new students in winter term.

Opt-Out Eligibility

How to Opt Out

To Opt Out, you must be enrolled in the Student Benefits Plan, meet the Opt-Out eligibility criteria, have proof of comparable dental coverage, and complete the online form before the applicable term deadline.

Steps to Opt-Out

Things to consider:

A parents' insurance plan ceases coverage until you turn either 18 or 21, or up to 25 if you are studying full-time at a recognized education institution.
You can coordinate two benefit plans to maximize your coverage, potentially reaching up to 100% coverage! Find out more Coordination of Benefits.
The Student Health Plan is mandatory. Therefore, there is no Health Plan Opt-Out.
If you opt out of the dental plan, you are still considered to have access to dental insurance, which makes you ineligible for the Canadian Dental Care Plan (CDCP).
Approval of the Student Dental Opt-Out application will result in the plan fee being refunded according to the school's policy.
NO EXCEPTIONS will be made if the deadline is missed. It is the student's responsibility to pay the plan's mandatory fees, should they miss the applicable opt-out deadline.

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 dental opt-out form is not accessible at this time.

The fall application period was from August 1^st, 2025 to September 19^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 dental opt-out deadline.

Winter 2026: The online applications will open on December 1^st, 2025, and the application deadline is January 23^rd, 2026. This deadline applies only to new winter-eligible students. Applications from other students will be rejected.

Dental Opt-Out Form

Please complete all information on the opt out 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

Date of Birth

Date Month Field Date Day Field Date Year Field

Mailing Address

City

Province

Postal Code

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

Winter Deadline
Submit your Family Add-On, Dental Opt-Out and Dental Re-Enroll/Opt-In applications by January 23^rd, 2026.

Benefit Cards
Get your Benefits Card on your Benefits App and use it where direct billing 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 get your refund.

Benefits Plan Office

Email: guelphplan@mystudentplan.ca
Phone: 226-770-3536
Address: Room 108A, Level 1, University Centre.
Guelph, Ontario N1G 2W1, CA

General Inquiries Line

Monday to Friday
from 8:00am to 8:00pm EST
Phone: 1-877-746-5566

Dental Opt-Out applications are now closed

Dental Opt-Out Applications

Winter Application Period

Opt-Out Eligibility

How to Opt Out

The dental opt-out form is not accessible at this time.

Dental Opt-Out Form

Student Information

Benefits Plan Office

General Inquiries Line

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