Student Health and Wellness

Group ID: 635957
Certificate ID: Student ID
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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 dental opt-out application before the deadline. You are not allowed to opt out of only the health or dental plan.

Winter Application Period

December 1^st, 2024 to January 20^th, 2025

Make sure to submit your form by January 20^th as the online form won't be accessible after that date.

Opt-Out Eligibility

There are 2 circumstances in which students enrolled in the Student Health and Dental Plan may opt out: (1) when they are new students or (2) when they are on the anniversary of enrolling in the Student Benefits Plan.

Opt-Out Eligibility

How to Opt Out

To Opt Out, you must be enrolled in the Student Benefits Plan, have proof of coverage, meet the Opt-Out eligibility criteria, and complete the online form before the applicable term deadline.

Steps to Opt-Out

Proof of Comparable Coverage

You are required to provide proof of your comparable extended health and dental coverage by attaching documentation displaying the policy information when you are completing the online form.

Confirmation of coverage must show the name of the insurance company providing the coverage and the policy number. Acceptable forms of confirmation of coverage are:

Copy of a Benefits Card (front and back images).
Confirmation letter from the employer or insurance company with a current date.
Recent health care claim statement with the current date (within 3 months of application submission).
Webpage printout with a visible current date.

Things to consider:

The Ontario Health Insurance Plan (OHIP) or The Student Plan is not acceptable as comparable insurance coverage.
A parents' insurance plan ceases coverage until you turn either 18 or 21, or up to 25 if you are studying full-time at a recognized education institution.
You can coordinate two benefit plans to maximize your coverage, potentially reaching up to 100% coverage! Find out more Coordination of Benefits.
Students with comparable coverage cannot choose to opt out of the health or dental, the opt-out Withdraw you from both plans.
Approval of the Student Benefits Plan Opt-Out application will result in the plan fee being refunded according to the school's policy.
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.

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

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

The opt-out form is not accessible at this time.

The fall application period was for programs starting on August 1^st: from August 1^st, 2024, to August 20^th, 2024, and for programs starting on September 1^st: 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 20^th, 2025. This deadline is only for new or returning students starting their studies in the winter term. Spring-Summer or fall students submitting applications during the winter term will be denied.

Extended Healthcare Benefits & 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 #

Online applications are now closed

Opt-Out Applications

Winter Application Period

Opt-Out Eligibility

How to Opt Out

Proof of Comparable Coverage

The opt-out form is not accessible at this time.

Extended Healthcare Benefits & Dental Opt-Out Form

Student Information

Required Direct Deposit Information

Benefits Plan Office

General Inquiries Line

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