Use this form to claim for Drug, Extended Heath & Vision claims.
Take this form to your dentist for completion before submission. We recommend students show their dentist their Health Benefits Card and have the dental office submit their claim electronically, or request a "Standard Dental Claim Form" in lieu of using this form.
If you have returned home from your trip and need to make a claim, please click here for more information.
Full benefit details can be found on the Simply Benefits Portal
Students are encouraged to use the Online platform to submit any opt-in/out requests to their benefits during the term in which they begin their studies.
Please visit the Frequently Asked Questions section to learn more about the opt-in/out processes.