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Forms & Documents

Please find below some useful forms & documents related to your Health & Dental Benefits



  • Claim Forms
  • Info Brochures
  • Other Plan Forms

For instructions on how to Make a Claim, please go HERE.
 

Health Claim Form  ENGLISH   |   FRENCH

Use this form to claim for Drug, Extended Heath & Vision claims.

 

Dental Claim Form  ENGLISH   |   FRENCH

Take this form to your dentist for completion before submission.  Note that 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.

 

Health & Dental Benefits Brochure  2024-2025  |  2023-2024  

Find all the details for your Health & Dental Benefits listed in this document.

 

Translated Benefits Postcard  French Mandarin

A condensed dcument with your plan design and important contact information, fully-translated into different languages.

 

Special Authorization Request Form

This form is used for students requesting special authorization for a specific drug to be covered under the health and dental benefits. For students requesting a CNS Cap Removal, or Monitored Medication Request, please contact Student VIP directly. Note that submission of this form does not guarantee your request will be granted.

 

VISA/Travel Letter Request

This form is used for students requesting proof of coverage for either a travel visa, applications for government programs or proof for other reasons.

*Note that students traveling to Cuba do NOT require a travel letter, your provincial health coverage is sufficient for entering the country.

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