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.

Opt-Out Applications

Submit your health and/or dental opt-out application before the deadline.

Winter Application Period

December 1^st, 2024 to January 17^th, 2025

Make sure to submit your form by January 17^th as the online form won't be accessible after that date.

Eligibility Criteria

There are 2 circumstances for opting out of the Student Health and Dental Plan:

1 Fall Academic Term

All students who are eligible for the plan and have comparable Health and Dental coverage from their parents, spouse, government, job, or band may apply if they wish to withdraw from the plan before the fall deadline.

If you miss the fall deadline, your next opportunity to opt out would be next fall.

2 Winter or Spring-Summer Academic Term

Only new eligible students who have comparable health and dental coverage from their parents, spouse, government, job, or band may apply if they wish to withdraw from the plan before the term deadline respectively.

If you miss the winter or spring-summer deadline, your next opportunity to opt out would be next fall.

Things to consider when thinking of opting out:

A parents' insurance plan will stop covering you if you are a part-time student over the age of 21 or a full-time student over the age of 25.
You can coordinate 2 benefit plans and increase your coverage up to 100%! Find out more Coordination of Benefits
What is in the best interest of my overall health & wellbeing?
Does my existing coverage meet all of my needs?
The only time you can get back on this Student Benefits Plan is on the anniversary of opting out of the plan OR within 30 days of losing your alternate coverage.

Opt-Out Audit

If your application has been chosen for an audit, you may be asked by email to provide documentation of your existing coverage to confirm that you are already covered with comparable Health and Dental Plan. Please do not email any documentation to our offices until you receive an email request.

Important notes:

Ontario Health Insurance Plan (OHIP), Guard.me, or The Student Benefits Plan is not acceptable as comparable insurance coverage.
Students with comparable coverage can choose to opt out of health, dental, or both.
The comparable coverage accepted could be from parents, spouse, work, government, or band.
Approval of an opt-out application will result in the plan fee being reimbursed by direct deposit approximately 60 days after classes begin. Once an opt-out application has been accepted, it will remain in force each consecutive year you remain an eligible student.
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.
Once you complete the opt-out form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting an opt-out request.

Steps to submitting a Health and Dental Opt-Out Application:

1 Student Information

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

2 Health Plan Opt-Out

Scroll down and check yes/no if you wish to opt-out of the health portion of the Student Benefits Plan. Provide the alternate insurance company name and policy number. Click NEXT.

3 Dental Plan Opt-Out

Scroll and check yes/no if you wish to opt out of the dental portion of the Student Benefits Plan. Provide the alternate insurance company name and policy number. Click NEXT.

4 Read 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.

5 Confirmation 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.

6 Application Status

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

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 opt-out form is not accessible at this time.

The fall application period was from August 1^st, 2024 to September 25^th, 2024.

NO EXCEPTIONS are made if the deadline is missed. The student must pay the plan's mandatory fees, should they miss the applicable opt-out deadline.

Winter 2025: The online form will be available on December 1^st, 2024, and the application deadline is January 17^th, 2025. This deadline is only for new or returning students starting their studies in the winter term. Fall or Spring-Summer students submitting applications during the winter term will be denied.

Health and 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

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Required Direct Deposit Information

Please enter your financial institution's Transit Number, Institution Number, and Account Number. (*mandatory fields)

** Please do not enter any dashes or spaces **

Transit #

Institution #

Account #

Winter Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by January 17^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