Student Health and Wellness

Plan Number: 177866
Certificate Number: Student ID
FAQ
Canada Life: 1-800-957-9777
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Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

RE-Enroll Applications

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

Winter Application Period

December 1^st, 2024 to January 25^th, 2025

Make sure to submit your form by January 25^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 Student Benefits 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 SA Health Fee on your student account to confirm you are enrolled.
Students choosing to re-enroll in the Health, the 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.

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

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

Health and Dental Re-Enrollment 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

Winter Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by January 25^th, 2025

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.

Benefits Plan Office

Email: boothplan@mystudentplan.ca
Address: 100, 290 Vaughan Street, Booth University College.
Winnipeg, Manitoba R3B 2N8, CA

General Inquiries Line

Monday to Friday
from 7:00am to 6:00pm CST
Phone: 1-877-746-5566

Online applications are now closed