International Emergency Health Insurance Opt-in plan for students who do not meet the full-time student eligibility criteria for international emergency insurance coverage and/or are a visiting professor who requires an emergency health insurance plan while in Canada. The opt-in emergency health insurance plan allows for single or family coverage purchase under a 2 or 3 month option:

Eligibility Criteria:

An international student or participating staff member meeting the following criteria can enrol in the MyCanadaPlan, Select, plan, if the student is successfully registered for study or teaching at Norquest College:

1) Successfully registered for 1 – 3 courses at Norquest, considered certificate courses or short term; and a valid study permit,
2) You are a visiting professor for a short term contract at the Designated Learning Institution, Norquest; and a valid work permit,
3) Who are not eligible for provincial health coverage while residing in Canada,
4) Do not have access to an emergency health insurance and do not have an active emergency insurance plan
5) The International Emergency Health Insurance Opt-In plan coverage is provided to eligible students who apply through the Opt-In form below. To enroll in the myCanadaPlan, Select, emergency health insurance opt-in plan, please go to the forms section, choose the Opt-Out/Enroll tab at the top of the website page, choose the International Opt-In Emergency Insurance Plan option, review coverage and fees; and continue to the form at the bottom of the page.

Claims for services eligible under your Student Health & Dental Plan, made from your home country, with a date of service prior to December 31, 2021, are eligible for reimbursement.

The benefits will be paid based on the existing insurance policy according to the terms of the contract with all reimbursements, maximums, physician requirements, fee guide, frequencies, policy details, etc. remaining in force. Eligible expenses incurred with a date of service prior to December 31, 2021 will be eligible for reimbursement. Claims with a date of service after December 31, 2021 incurred outside of Canada will not be eligible for reimbursement.

There are two options for submitting claims as an insured International Student studying from your home country.
1) Submit a paper claim with receipts upon arrival in Canada.
2) Submit a claim through your Groupnet account with Canada Life.

To submit claims while outside of Canada you must be registered for Groupnet and have a Canadian Bank Account. All Claims incurred outside of Canada are considered Out of Country claims which require using the online Paper Claim process; this process uses electronic documents.

Health related claims including prescription drugs require:
· A completed health claim form including the patient’s name.
· An official receipt signed by the provider/pharmacist showing a breakdown of the charges and the currency billed, along with proof of payment.
· Detailed listing of the service provided.
· The service providers complete name, address, and phone number.

Dental related claims require:
· A completed dental claim form including the patient's name.
· A receipt signed by the dentist showing a breakdown of charges and the currency billed, along with proof of payment.
· The dental providers complete name, address, and phone number.

Eligible services are included in the myBenefits section of the plan website. Forms for submitting claims are in the Making a Claim section of the plan website.

Additional Notes:
- All claims will be paid in Canadian Funds.
- Applicable to the Student only.
- Family members are not eligible.
- Claims with a date of service after December 31, 2021 incurred outside of Canada will not be eligible for reimbursement.

Below are details on how to access the online Paper Claim process; this process utilizes electronic documents.

Step 1: Sign in to Groupnet.


Step 2: Click on “Make a Claim”.


Step 3: Click on “Start Paper Claim”. (This process uses electronic documents.)


Step 4: Follow instructions for “How to submit paper claim forms and documents online”.

Pay-direct claims allow for direct billing of eligible costs between your pharmacy and/or dental office and the insurance company. Pharmacy claims are processed immediately so that students are not out of pocket the full expense at the time of purchase. Dental claims are processed based the individual dental office's billing practices. These claims are accessed with the myBenefits Card.

Visit the myBenefits Card page to access your personalized myBenefits Card.

• Provides emergency health insurance coverage for international students and/or visiting teaching staff, and their dependents (if applicable) who are not eligible for provincial health coverage in the event of a medical emergency while residing in Canada
• Provides coverage during inbound travel (*based on purchase date and/or date of departure, refer to policy)
• Coverage plans can be purchased in a 60-day or 90-day durations for policies; and can be extended
• Accessible online opt-in application form via Norquest College student website
• Access to the international microsite via the provider for:
• Access to a dedicated Customer Service number for medical emergencies and/or navigating physician appointments when necessary, including access to service in
• Submit claims online and access multi-lingual service and resources
• Policy wording and documentation

For full details on the emergency health insurance coverage please click here refer to view the myCanadaPlan Select Policy or email infoselect@mystudentplan.ca.

International Students/Staff Fees:

	60 Day (2 months)	90 Day (3 months)
Student	$150.00	$225.00
Student plus 1	$240.00	$360.00
Student plus 2 or more	$300.00	$450.00

With Canada Life's new GroupNet™ Mobile app, you can now access a variety of plan member services while you're on the go. Use your mobile digital device to quickly and easily:

• Submit claims online with eClaims - part of Canada Life's industry-leading GroupNet online services.
• Access personalized coverage information about benefits, claims and more.
• Locate the nearest provider who has access to Provider eClaims, using a built-in GPS mapping tool.

To use GroupNet Mobile, you need to be registered for GroupNet for Plan Members. Registering is easy; just click GroupNet for Plan Members to begin the process.

You'll need your group benefits plan number and your plan member ID number. To use the app to submit claims, you must also be signed up for Direct Deposit of claim payments and eDetails (email or text notification when your claims are adjudicated).

GroupNet Mobile is free on Google Play, BlackBerry App World and the App Store.

Watch a short video about GroupNet Mobile.


When registering for GroupNet you will need to provide:

• Plan Number: 159908
• ID Number: NorQuest College Student ID

To submit a manual claim, complete an insurance Health Claim Form, attach the original receipts and documents, and mail to the insurer. Remember to keep a copy of all original documents for your records.

The following information is required on the claim form:

Plan Number: 159908
Division Number: Not Applicable Leave Blank
Plan Name: Students' Association of NorQuest College
Employee Identification Number: Your Student ID
Employee Name: Your Name
Address: Your Current Mailing Address

To submit a manual claim, complete an insurance Dental Claim Form, attach the original receipts and documents, and mail to the insurer. Remember to keep a copy of all original documents for your records.

The following information is required on the claim form:

Plan Number: 159908
Division Number: Not Applicable Leave Blank
Plan Name: Students' Association of NorQuest College
Employee Identification Number: Your Student ID
Employee Name: Your Name
Address: Your Current Mailing Address

Submission of an online form indicates:
· an understanding that it is solely the responsibility of the student whose name and identification number (The Student or Staff) is on the form to ensure that the form has been received by the benefit office representative;
· an understanding that the information provided is required in order to fulfill the purpose of the form;
· authorization and consent to the use, release and exchange of said information between the educational institution, the student organization, the plan broker, third party service providers and the insurance company(s) to be used solely in connection with the administration of the insurance Plans;
· confirmation that all the information provided is accurate; and
· that additional terms as indicated below by type of form also apply

Falsification of any information provided by The Student is an act of fraud.

INTERNATIONAL STUDENT EMERGENCY PLAN OPT-IN FORM: The International Student or Staff acknowledges the intention to enrol in the International Opt-In Emergency Health Insurance plan. The Student or Staff acknowledges that the International Opt-In Emergency Health Insurance Plan is only 2 or 3 month purchase terms, unless otherwise requested; payment is required in full for the duration purchased. The Student or Staff must acknowledge that they do not have access to provincial coverage and possess a valid study permit or valid work permit for the duration of time required for study period or work placement. The Student or Staff understands that a copy of the valid work or study permit are required with the online form to be confirmed with the affiliated organization. The Student or Staff understands that this must be provided by the applicable deadline.

The Student or Staff understands that this opt-in is for the current period of study or work placement in the academic term only for which they are enrolled or placed. The Student or Staff must submit a new opt-in at the end of the duration of term purchased by completing a new online opt-in form; i.e. 2 or 3 month terms. The Student or Staff acknowledges this period of coverage, consecutively, does not exceed 12 months for each enrolled or placement period. The Student or Staff acknowledges that as a result of the opt-in the student does not qualify for provincial health coverage.  The Student or Staff realizes that they will not be able to rejoin this plan in the event they obtain provincial coverage and if there duration for the next period of study is greater than 12 months in the current academic year.

INTERNATIONAL EMERGENCY PLAN OPT-IN DEADLINE: The opt-in deadline dates are established by the Administrator. The Student or Staff will be able to Opt-In within 10 days of your confirmed registration or employment/placement date. Once purchase of the International Emergency Health Insurance Opt-In Plan has been made there are no refunds as this is a non-refundable purchase. It is The Student or Staff’s responsibility to pay the plan fees.

INTERNATIONAL STUDENT EMERGENCY PLAN OPT-IN EMAIL CONFIRMATION: You will receive a reply email confirmation after you complete and submit this online International Emergency Health Insurance Opt-in form. Please retain a copy of the email confirmation for your records. The email confirmation is your ONLY proof that you applied to opt-in for the International Health Emergency Insurance plan, myCanadaplan Select coverage. If you do not receive a confirmation email, please contact the infoselect@mystudentplan.ca.

INTERNATIONAL STUDENT EMERGENCY PLAN ONLINE OPT-IN AUDIT: You will be asked to supply and validate information or documentation to obtain the myCanadaPlan Select Emergency Health Insurance Opt-In plan coverage. You will be asked to provide proof of registration, valid study permit/student visa or work permit as it relates to your individual situation with each application or renewal.

INTERNATIONAL EMERGENCY OPT-IN PLAN ENROLMENT FORM: The Student or Staff understands that in order to enroll family on the Opt-In Emergency Health Insurance plan, The Student or Staff must be enrolled in this plan. Your family can only be covered while you are a student or staff on this plan(s) for the applicable duration. The student or Staff dependents must be submitted in the initial online opt-in form submitted by you, by the applicable deadline. The deadline will be provided is within 10 days of your confirmed registration or employment/placement date. The Student or Staff understands that the family coverage provided to the plans will need to be renewed at the same time as the Student or Staff each term. Family fees as part of the full amount due are non-refundable.

The Student or Staff understands that the information requested is required to provide the same coverage received as a student to spouse and/or dependent(s). The Student or Staff has the authority to provide such information and authorizes the use of the information provided where it is required in the administration of the insurance benefits. The Student understands that in order to receive coverage for an eligible spouse or dependent(s) the appropriate fee must be paid. The Student or Staff agrees to pay the appropriate fees for the coverage requested prior to the applicable deadline.

The Student or Staff confirms that the individual(s) for whom coverage is being requested qualify based on the eligible definitions of spouse or dependent.

Definition of Spouse: Spouse means the person who is a resident of Canada, and who is married to The Student, or a person of either sex who has continuously co-habitated with The Student for a period of at least 12 months and who is publicly represented as The Student's wife or husband.

Definition of Dependent(s): Dependent means an unmarried child who is a resident of Canada, and entirely dependent on The Student for maintenance and support, and who is:
1) under 21 years of age, CONFIRM.
2) under 25 years of age and attending a college or university full-time, or
3) physically or mentally incapable of self-support and became incapable to that extent while entirely dependent on The Student for maintenance and support and while eligible under 1) or 2) above.

Family Enrolment is not guaranteed by submitting this form; the applicant must be eligible for the program and the appropriate fees must be paid.