Terms and Conditions
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 Student Benefits Plan;
- 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 considered to be a serious form of fraud.
OPT-OUT FORM: The Student wishes to opt-out of the International Medical Plan coverage you must have valid proof of the Provincial Nova Scotia MSI. If you do not have valid proof of Nova Scotia MSI, you are not permitted to opt-out.
The Student acknowledges that as a result of the opt-out, s/he forfeits all rights to coverage otherwise available to him/her under the International Medical Plan .
OPT-OUT EMAIL CONFIRMATION: You will receive a reply email confirmation after you complete and submit the 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 the coverage. If you do not receive a confirmation email please contact the St. Francis Xavier Students' Union Benefits Plan Office before the applicable deadline.
ONLINE OPT-OUT AUDIT: You will be required to upload your valid Nova Scotia MSI coverage in order to opt-out. Without such documentation you will remain on the mandatory International Medical Plan and assessed the applicable fee.