INTERNATIONAL STUDENT MEDICAL INSURANCE PLAN OPT-OUT TERMS & CONDITIONS:
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Submission of an online form indicates:
- an understanding that it is solely the responsibility of the student whose name and identification number (The Student) 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 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 MEDICAL INSURANCE PLAN OPT-OUT FORM: The Student wishes to decline the International Emergency Insurance plan. The International Student must have current Saskatchewan Health coverage in effect verifying effective Saskatchewan Health start date and expiry date. The Student understands that this must be provided by the applicable deadline. Saskatchewan Health is the primary acceptable alternative coverage to the International Student Medical Insurance plan; alternate coverage may be submitted for review.
The Student understands that this opt-out is for the current academic year only and The Student must submit a new opt-out each academic year, if applicable. The Student acknowledges that as a result of the opt-out, the student forfeits all rights to coverage otherwise available to them under the International Student Medical Insurance plan during the current year. The Student realizes that they will not be able to rejoin this plan in the current academic year.
The Student acknowledges that this opt-out will result in The Student being enrolled in the Transportation and Repatriation plan and The Student will be enrolled in this plan for as long as an international student at this institution.
INTERNATIONAL STUDENT MEDICAL INSURANCE PLAN OPT-OUT DEADLINE: The opt-out deadline dates are established by the Institution or Student Organization. You will not be able to opt-out of coverage at any other point during the school year. For example, if your program starts in September, you must opt-out prior to the end of the Fall deadline. It is The Student's responsibility to pay the plan fees, should they miss the applicable opt-out deadline.
INTERNATIONAL STUDENT MEDICAL INSURANCE PLAN OPT-OUT EMAIL CONFIRMATION: You will receive a reply email confirmation after you complete and submit this online opt-out. Please retain a copy of the email confirmation for your records. The email confirmation is your ONLY proof that you applied to opt-out of this coverage. If you do not receive a confirmation email, please contact the SPSA Student Benefits Plan Office before the applicable deadline.
INTERNATIONAL STUDENT MEDICAL INSURANCE PLAN ONLINE OPT-OUT AUDIT: You may be asked to validate information or documentation at any time throughout each year of coverage. If you are audited and fail to fulfill the audit requirements you will be reinstated to this plan and assessed the applicable fee.
INTERNATIONAL STUDENT MEDICAL INSURANCE PLAN FAMILY COVERAGE: Not Applicable. The international student medical plan is only available for students enrolled at their institution.