Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

 

Family Add-On Applications

Submit your health and/or dental family add-on application before the deadline.

Application Period

30 days from the official start date of your program

Make sure to submit your form by the deadline as the online form will be accessible only to eligible students with lifestyle changes.

Your student account fees only cover you. If you wish the same coverage for your dependents, you can purchase additional coverage using a VISA or Mastercard credit card or a VISA Debit card.

Family Add-On Eligibility

There are 2 circumstances in which students enrolled in the Student Health and Dental Plan may add dependents: (1) When they are new students or returning students on the anniversary of starting an eligible full-time program, and (2) when they have a lifestyle change.

How to Add Family

To apply to Add Dependents, you must be enrolled in the Student Benefits Plan, meet the family add-on eligibility criteria, and complete the online form before the applicable deadline.

Family Add-On Fees:

These are the fees to purchase family coverage, you must pay using a VISA or Mastercard credit card or a VISA Debit card before the applicable payment deadline.

One Dependent Two or More Dependents
Health and Dental $292.00 Health and Dental $584.00
  • These are the current family Add-on fees. However, the fees are subject to change without notice.
  • These fees are not included in your tuition, and you will pay them with a VISA or Mastercard credit card or a VISA Debit card on our website if your application is approved.
  • The Family add-on fees cover 12 months of coverage.
  • The Family Add-on are non-refundable.
Things to consider:
  • You can only add as a dependent to your Student Benefits Plan your spouse or common-law partner and your children. Parents, grandparents, and siblings do not qualify as dependents.
  • Your dependents would be covered under your Student Benefits Plan, which means they would be entitled to the benefits you have through your plan.
  • Each dependent added uses the same Benefits Card that the student has. The Benefits Card must have the student's information (Full name and student ID).
  • Family Add-On fees are not automatically renewed every year. If students wish to keep the dependents covered, you must submit a new application on the anniversary of enrolling them.
  • 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: lakelandplan@mystudentplan.ca

Eligibility Confirmation

Confirm your eligibility to add your family to the Student Benefits Plan by completing the following questions.

Are you a new student who has been assessed the Health Fee and Dental Fee on your student account?

Are you a returning student on the anniversary of your enrollment in the Student Benefits Plan who has been assessed the Health Fee and Dental Fee on your student account?

The anniversary refers to when you first became eligible for the Student Benefits Plan and were assessed the fees. For instance, if you were first eligible for the Student Benefits Plan in January, your anniversary would happen every January.

Are you enrolled in the Health and Dental Plan and have a lifestyle change such as getting married, common-law status, or birth/adopting a child?

You may only apply within 30 days of the lifestyle change. After the deadline, your application will be denied.

Are your dependents eligible to be added to your Student Benefits Plan?

You can only extend your plan to your spouse or common-law partner and your children. Please check the eligible dependents.

Health and Dental Family Add-On Form

Complete all information on the family add-on form and we will process your application as soon as we can.



Student Information

Sex
Date of Birth
Phone Number
Program Start Date