Student Health and Wellness

Plan Number: Health 330820 - Dental 157994
Certificate Number: Student ID
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Canada Life: 1-800-957-9777
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Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

Dental Opt-Out Applications

Submit your dental opt-out application before the deadline. The Student Health Plan is mandatory. Therefore, there is no Health Plan Opt-Out.

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 won't be accessible after that date.

Opt-Out Eligibility

There are 2 circumstances in which students enrolled in the Student Dental Plan may opt out: (1) when they are starting the fall term, or (2) when they are new students in winter term.

Opt-Out Eligibility

How to Opt Out

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

Steps to Opt-Out

Things to consider:

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 combine two benefit plans to maximize your coverage, potentially reaching up to 100% coverage! Find out more Coordination of Benefits.
The Student Health Plan is mandatory. Therefore, there is no Health Plan Opt-Out.
Approval of the Student Dental 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: 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 dental opt-out form is not accessible at this time.

The fall application period was from August 1^st, 2024 to September 20^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 dental opt-out deadline.

Winter 2025: The online form will be available on December 1^st, 2024, and the application deadline is January 26^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.

Eligibility Confirmation

Confirm your eligibility to opt out of the Student Dental Plan by completing the following questions.

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

You can only be assessed the Student Benefits Plan fee if you meet the plan eligibility criteria. Check the Student Benefits Plan Eligibility Criteria.

Yes

No

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

You can only be assessed the Student Benefits Plan fee if you meet the plan eligibility criteria. Check the Student Benefits Plan Eligibility Criteria.

Yes

No

Have you ever opted out of the Student Dental Plan?

Yes

No

Are you covered by a comparable Dental Plan from parents, spouse, work, government, or band?

The Ontario Health Insurance Plan (OHIP), an International Emergency Insurance or the Student Benefits Plan are not acceptable as comparable insurance coverage.

Yes

No

You meet the eligibility criteria to opt out of the plan at this time.

The deadline to submit your dental opt-out application is September 20^th, 2024. After the deadline, the online form will not be available.

Complete the online form below to submit your application. Completing the questionnaire does not mean that your application is approved, the Student Benefits Plan Office will confirm your eligibility and process your application.

You must provide documentation such as a scan/picture of your Benefits Card, a confirmation letter from the employer of the insurance company, or a screenshot of your account on the insurance website when you are completing the online form. The documentation must show the name of the insurance company, the policy number, the student's name, and the current date.

Opting out of the dental plans is a one-time process. This means students do not need to apply every term or year. Once approved, the opt-out remains active on your account and you will not be assessed the Student Dental Plan fee.

The only time you can get back on this Student Dental Plan is in the fall term (every year) OR within 30 days of the loss of your comparable coverage.

You may receive an email to advise that the opt-out application is being audited - as per the Terms and Conditions associated with the Opt-out of the Dental Plan.

Once you submit the opt-out form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting an opt-out request.

It appears you do not meet the criteria to opt out at this time.

If you have not been assessed the Student Dental Plan fee on your student account, you are either not eligible for the Student Benefits Plan or currently have an active opt-out on file.

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 Dental Plan and may apply to opt out.

If you have any questions, please initiate a chat by clicking on the right-bottom corner icon or contact the Benefits Plan Office by email at guelphplan@mystudentplan.ca or by phone at 226-770-3536.

It appears you do not meet the criteria to opt out at this time.

The Student Dental Plan fee is mandatory and must be paid as well as the tuition total charges by the applicable deadline to avoid overdue penalties.

The next opportunity to submit your online opt-out application would be in the upcoming fall term.

If you have any questions, please initiate a chat by clicking on the right-bottom corner icon or contact the Benefits Plan Office by email at guelphplan@mystudentplan.ca or by phone at 226-770-3536.

It appears you do not meet the criteria to opt out at this time.

Only eligible students who are covered by a comparable Dental Plan from parents, spouse, work, government, or band may apply to opt out.

The Student Dental Plan fee is mandatory and must be paid as well as the Tuition total charges by the applicable deadline to avoid overdue penalties.

If you have any questions, please initiate a chat by clicking on the right-bottom corner icon or contact the Benefits Plan Office by email at guelphplan@mystudentplan.ca or by phone at 226-770-3536.

It appears you do not meet the criteria to opt out at this time.

Opting out of the dental plan is a one-time process. This means students do not need to apply every term or year. Once approved, the opt-out remains active on your account and you will not be assessed the Student Dental Plan fee.

If you have any questions, please initiate a chat by clicking on the right-bottom corner icon or contact the Benefits Plan Office by email at guelphplan@mystudentplan.ca or by phone at 226-770-3536.

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

Campus

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Winter Deadline
Submit your Dental Re-Enroll/Opt-In and Family Add-On applications by January 26^th, 2025.

Plan Card Generator
Generate your Plan Card and use it where direct billing to Canada Life is available.

Prescription Search Tool
Find out if your prescription drugs are covered by the student plan.

Plan Claims
Learn more about submitting online or manual claims to get your refund.

Benefits Plan Office

Email: guelphplan@mystudentplan.ca
Phone: 226-770-3536
Address: Room 108A, Level 1, University Centre.
Guelph, Ontario N1G 2W1, CA

General Inquiries Line

Monday to Friday
from 8:00am to 8:00pm EST
Phone: 1-877-746-5566

Online applications are now closed

Dental Opt-Out Applications

Winter Application Period

Opt-Out Eligibility

How to Opt Out

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

Eligibility Confirmation

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

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

Have you ever opted out of the Student Dental Plan?

Are you covered by a comparable Dental Plan from parents, spouse, work, government, or band?

Dental Opt-Out Form

Student Information

Benefits Plan Office

General Inquiries Line

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