Student Health and Wellness

Plan Number: 161332
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.

Fall Application Period

August 1^st to September 19^th, 2025

Make sure to submit your form by September 19^th as the online form will be accessible only to eligible students who have lost comparable coverage.

Eligibility Criteria

There are 2 circumstances for re-enrolling in the Student Health and Dental Plan:

1 Upon Policy Anniversary

All eligible students who previously opted out of the dental plan may submit applications if they wish to re-enroll in the Dental Plan in the following Fall semester.

The policy Anniversary for all eligible students is September 1^st, please only complete this re-enroll form in the Fall term before the applicable fall deadline.

2 Loss of Comparable Coverage

Students who previously opted out of the benefits, have lost their comparable insurance coverage, and are still eligible for the plan may re-enroll in the Student Benefits Plan within 30 days of losing that coverage.

Proof of losing coverage must be sent to
ridgetownplan@mystudentplan.ca
after completing this form.

Documentation includes a letter from the insurance carrier or the employer stating the student's name, loss of coverage date, the insurance carrier's name & policy number.

Deadline is within 30 days of lifestyle change

Important notes:

All eligible students are automatically enrolled in the Student Health and Dental Plan and do not need to submit a Re-Enroll or Accessibility Opt-In form. You will see a health insurance fee and dental insurance fee on your student account to confirm you are enrolled.
There is a 60-day validation period from the start of the term. During this time, you would have to pay out of pocket for all eligible Health and Dental expenses and keep the receipts. After the enrollment process is complete, you will be able to submit online claims for reimbursement and your Benefits Card will be automatically activated for pharmacies and dental offices.
NO EXCEPTIONS will be made if the deadline is missed.
Once you complete the Re-Enroll or Accessibility Opt-In form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting a Re-Enroll or Accessibility Opt-In request.

Steps to Submitting a Re-Enroll or Accessibility Opt-In Application:

1Student Information

Complete this section below providing true and correct information. Click NEXT.

2Enrollment Circumstances

Scroll down and check Health Plan/Dental Plan/Qualify. You can choose Health or Dental or both plans. Select your status and Click NEXT.

3Read and Agree to the Terms and Conditions

Click on the checkbox to indicate that you agree to the Terms and Conditions agreement. Click SUBMIT to finish your application.

4Confirmation Email

Check your email and verify if you have received the confirmation email. If you do not receive this email, you must resubmit the form.

5Application Status

You will receive an email with the status of your application.

6Pay the Fees

If your application is approved, the fees will be included in the student account.

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

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

Main Campus Students - Univeristy of Guelph

Please do not submit this form. If you attend the Main Campus and wish to apply, you must complete the online application on the University of Guelph CSA and GSA (Main Campus) Plan website.

The re-enroll form is accessible only to eligible students who have lost comparable coverage.

The winter application period was from December 1^st, 2024 to January 17^th, 2025.

NO EXCEPTIONS are made if the deadline is missed.

Fall 2025: The online form will be available on August 1^st, 2025, and the application deadline is September 19^th, 2025. This deadline is only all eligible students.

Health and Dental Re-Enroll or Accessibility 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

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

Fall Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by September 19^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 get your refund.

Benefits Plan Office

Email: ridgetownplan@mystudentplan.ca
Phone: 519-674-1500 Extension 63507
Address:Room 128, 120 Main Street East. D.J. Pestell Student Services & Alumni Centre.
Ridgetown, Ontario N0P 2C0, CA

General Inquiries Line

Monday to Friday
from 8:00am to 7:00pm EST
Phone: 1-877-746-5566

Online applications are now closed