Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

 

Direct Deposit Info Form

PLEASE NOTE: This form is NOT to update banking information with GroupNet, it is for dental opt out refunds ONLY.

Please complete this form if you have previously opted
out of the student dental plan and would like to update your direct deposit
information. This will change the banking details for where your opt-out
reimbursement will be deposited. Please double check the information provided
below before choosing submit to ensure the account details are accurate.
First Name
Last Name
Student ID
Email
Phone Number


Required Direct Deposit Information

Please enter your financial institution's Transit Number, Institution Number, and Account Number.
info graphic
Transit #
Institution #
Account #


Terms and Conditions

Do you accept the Terms and Conditions?
Yes