Student Health and Wellness

Plan Number: Health 330820 - Dental 157994
Certificate Number: Student ID
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Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

Family Add-On Applications

Submit your health and/or dental family add-on application before the deadline.

Winter Application Period

December 1^st, 2024 to January 26^th, 2025

Make sure to submit your form by January 26^th as the online form will be accessible only to eligible students with lifestyle changes.

Your student account fees only cover you. If you wish the same coverage for your dependents, you can purchase additional coverage using a VISA or Mastercard credit card or a VISA Debit card.

Family Add-On Eligibility

There are 4 circumstances in which students enrolled in the Student Health and Dental Plan may add dependents to their plan: (1) when they are starting the fall term, (2) when they are new winter students, (3) when yhey are new spring-summer students or (4) when they have a lifestyle change.

Family Add-On Eligibility

All eligible domestic and international students enrolled in an eligible studies program, members of the Central Student Association as having part-time or full-time status or members of the Graduate Students' Association as having full-time status at the University of Guelph are automatically enrolled in the Health and Dental plans. Students get one opportunity per academic year to add dependents to their plans and must meet the following criteria in order to have their application approved:

1 Fall Academic Enrollment

Assessed the Health Plan - medical insurance premium fee and the Dental Plan fee on their student account; and
Must submit their family add-on application before the applicable fall deadline; and
Must pay the family add-on fees by the assigned deadline.

Eligible students who miss the fall deadline would be able to add dependents the following fall term if they are fall-enrolled students. Students will not be able to add dependents in the winter term.

2 Winter Academic Enrollment

New eligible winter students; and
Assessed the Health Plan - medical insurance premium fee and the Dental Plan fee on their student account; and
Must submit their family add-on application before the applicable winter deadline; and
Must pay the family add-on fees by the assigned deadline.

New eligible winter students who miss the winter deadline would be able to add dependents the following fall term if they are fall-enrolled students.

3 Spring-Summer Academic Enrollment

New eligible spring-summer students; and
Assessed the Health Plan - medical insurance premium fee and the Dental Plan fee on their student account; and
Must submit their family add-on application before the applicable spring-summer deadline; and
Must pay the family add-on fees by the assigned deadline.

New eligible spring-summer students who miss the spring-summer deadline would be able to add dependents the following fall term if they are fall-enrolled students.

3 Lifestyle Change

Assessed the Health Plan - medical insurance premium fee and the Dental Plan fee on their student account; and
had a lifestyle change such as getting married, meeting the co-habitation requirement for common law status, or birth/adoption of a child; and
Must submit their family add-on application within 30 days of the lifestyle change; and
Must pay the family add-on fees by the assigned deadline.

You must provide documentation such as a marriage certificate, birth certificate, or adoption documents by emailing guelphplan@mystudentplan.ca. You have 10 business days to email the proper documentation or your application will be denied.

Eligible students who miss the 30 days deadline would be able to add dependents the following fall term if they are fall-enrolled students.

How to Add Family

To add dependents, you must be enrolled in the Student Benefits Plan, meet the Family Add-On eligibility criteria, and complete the online form before the applicable term deadline.

Steps to Add Dependents

Family Add-On Fees:

These are the fees to purchase family coverage, you must pay using a VISA or Mastercard credit card or a VISA Debit card before the applicable payment deadline.

Fall and Winter Family Add-On Fees:

One dependent		Two or more dependents
Health	$208.00	Health	$416.00
Dental	$137.00	Dental	$274.00
Health and Dental	$345.00	Health and Dental	$690.00

Spring-Summer Family Add-On Fees:

One dependent		Two or more dependents
Health	$104.00	Health	$208.00
Dental	$137.00	Dental	$274.00
Health and Dental	$241.00	Health and Dental	$482.00

These are the current family Add-on fees. However, the fees are subject to change without notice.
The Family Add-on fees are non-refundable and are not automatically renewed.
The Family add-on fees cover your dependents until August 31^st. If you wish to keep your family covered, you must submit a new application before the applicable fall deadline.
The family Add-On fees are not assessed as part of your term fees. If your application is approved, the Benefits Plan Office emails you a link, the payment deadline, and instructions to pay online using a VISA or Mastercard credit card or a VISA Debit card.

Things to consider:

You can only add as a dependent to your Student Benefits Plan your spouse or common-law partner and your children. Parents, grandparents, and siblings do not qualify as dependents.
Your dependents would be covered under your Student Benefits Plan, which means they would be entitled to the benefits you have through your plan.
Each dependent added uses the same Benefits Card that the student has. The Benefits Card must have the student's information (Full name and student ID).
Family Add-On fees are not automatically renewed every fall term. If students wish to keep the dependents covered, they must re-apply every fall.
NO EXCEPTIONS will be made if the application or payment is missed. It is the student's responsibility to check their emails regarding the status of the application or deadlines.

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

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

Ridgetown Campus Students - University of Guelph.

Please do not submit this form. If you attend the Ridgetown Campus and wish to apply, you must complete the online forms on the Ridgetown Campus Plan website.

The family add-on form is accessible only to eligible students with lifestyle changes.

The fall application period was from August 1^st, 2024 to September 27^th, 2024.

NO EXCEPTIONS are made if the deadline is missed.

Winter 2025: The online applications will open on December 1^st, 2024, and the application deadline is January 31^st, 2025. This deadline is only for new students starting their studies in the winter term. Spring-Summer or Fall students submitting applications during the winter term will be denied.

Health and Dental Family Add-On Form

Please complete all information on the family add-on 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

Sex

F

M

U

Date of Birth

Date Month Field Date Day Field Date Year Field

Phone Number

Phone Area Number Phone Local Number Phone Digits

Campus

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Online applications are now closed

Family Add-On Applications

Winter Application Period

Family Add-On Eligibility

How to Add Family

Family Add-On Fees:

Fall and Winter Family Add-On Fees:

Spring-Summer Family Add-On Fees:

The family add-on form is accessible only to eligible students with lifestyle changes.

Eligibility Confirmation

Have you been assessed the Student Health Plan fee and Student Dental Plan fee on your student account?

Are you a NEW winter student who has been assessed the Student Health Plan fee and Student Dental Plan fee on your student account?

Are you a NEW spring-summer student who has been assessed the Student Health Plan fee and Student Dental Plan fee on your student account?

Are you a student enrolled in the Student Benefits Plan and have a lifestyle change such as getting married, common-law status, or birth/adopting a child?

Are your family members eligible to be added to your Student Benefits Plan?

Health and Dental Family Add-On Form

Student Information

Benefits Plan Office

General Inquiries Line

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