Important News!

Waiving Your Student Benefits

If you are an eligible student and have comparable health and/or dental coverage you may apply to waive benefits. Each student is given one opportunity to waive benefits under the health and/or dental plans each year. All waiver forms must be completed through the Student Benefits Plan Office and must be received by the applicable deadline for the semester period of enrolment.

Confirmation of existing coverage must show the name of the insurance company providing coverage and the policy number. The easiest way for you to provide confirmation of coverage is by presenting a copy of a benefits card or a confirmation letter from the employer/insurance company. Confirmation may also be provided by presenting other documents such as a recent statement of claim, web page print-out or other insurance company document identifying you, the insurer and the policy number.

Once we confirm coverage, we DO NOT retain any confirmation documentation that you provide to us.

Approval of waiver forms will result in the plan fee being credited or refunded.

There will be no exceptions or extensions for students who fail to submit their completed waiver to the Student Benefits Plan Office prior to the applicable deadline.

If comparable coverage used to waive the student plan(s) terminates, you have 30 days from loss of coverage to notify the Student Benefits Plan Office in order to be covered under the health and/or dental plan(s). You must provide payment of the fee as well as written copy of notice of termination.

If comparable coverage for your family terminates, you have 30 days from the loss of coverage to notify the SAMRU Student Benefits Plan Office in order for your family to be covered under the health and/or dental plan(s). It is your responsibility to apply for benefits and provide payment of the family coverage fee prior to the 30-day deadline.

Only the Student Benefits Plan Office can process your waiver.

Download the Waiver Form in PDF format.

SAMRU Student
Benefits Plan Office

Room Z001
Wyckham House
4825 Mount Royal
Gate SW.
Calgary,Alberta
T3E 6K6

P: (403)440-6267
F: (403)440-8980

Click here to email

Health & Dental
Plan #

330756

The Great-West Life Assurance Company