Enrolment Form

Enrolment Form

If you are a Fall Term student who is already enrolled in the Plan and you wish to enrol your spouse and/or dependants, select 'Enrol Your Family Now' from the Change-of-Coverage menu to use the online family enrolment system during the Fall Change-of-Coverage Period. Online enrolments are secure, convenient, ensure quick processing and allow you to receive an instantaneous confirmation of your Change-of-Coverage request.

If you aren't automatically covered, but are eligible to enrol yourself, you will not be recognized by the online system and cannot enrol online. You can still enrol yourself and your spouse/dependants by completing an Enrolment Form.

Enrolment Form - Fall 2010

Enrolment Form - Fall 2010 (for students taking less than 3 credits)

January Enrolments
New Winter Term students beginning their studies in January who wish to enrol themselves (and their spouse/dependants) for coverage from Jan. 1 - Aug. 31, 2011 should visit this page at the beginning of January to download the January Enrolment Form.

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