Student Health and Wellness

30 days from the official start date of your program

New and Returning Students

Every new student in an eligible program is charged the plan fee(s) and can opt out within 30 days of their program start date.

If this deadline is missed, you will be eligible to opt out next year within 30 days of your plan anniversary as a returning student.

If you leave the school for more than a year you are considered a new student for the purposes of this form.

Things to Consider

You must be assessed the Health Insurance Fee and Dental Insurance Fee on your student account in order to opt out.
You must be covered by alternate comparable health and dental coverage through any of the following: your parents, spouse or common law partner, job, government, or band.
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 can choose to opt out of the health, dental, or both plans.
If you opt out of the dental plan, you are still considered to have access to dental insurance, which makes you ineligible for the Canadian Dental Care Plan (CDCP).
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.

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

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 #

Once your form is submitted you will receive an email from do-not-reply@alumo.ca confirming your submission.

Please do not reply to this email. Retain a copy of it for your records.

Questions? Please contact your Plan Support Office