Humber Polytechnic (International Students)

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Disclaimers

There will be no indication of any special authorization or patient exception drug allowances.
There will be no actual coverage amounts included. In fact the student plan is a generic one and the eligible costs are based on generic equivalents if they exist.
There will be no provincial breakdowns and some DINS may possibly be included in one province and not in another.

WeConnect Info

Access Code: SPR25ACLSAP

Your Student Assistance Program providing mental health and wellness services 24/7

International Students only - Humber and Guelph-Humber

eProfile for Online Claims Submission

How to Submit Your Claims Online

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International Students only - Humber and Guelph-Humber

Flex Plan

ARE YOU ENROLLED IN THE HEALTH & DENTAL PLAN?

This is not an application to opt into the benefits. You cannot choose an enhanced plan unless you:

Were charged as a full-time, undergraduate student on your tuition.

Have already completed a part-time or graduate opt-in application and paid the necessary fee of $392.07

UNSURE IF YOU’RE ENROLLED? Look for the LUSU Medical and Dental $392.07 charge on your Myinfo student account statement.

Please select your program

You need to input a valid value for field: School

Please only list the last 9 digits of your student ID number Last 7 digits of your Student Number Last 6 digits of your Student Number Please enter your Student ID number

I confirm I understand this application will not be processed unless I am enrolled before the opt-in deadline (September 30)

You need to input a valid value for field: Agree

You need to input a valid value for field: Student ID number

This Student ID has already made a change of plan for this session.
You will be able to change plan again after this date:

PlanDisplay plans overview

First Name

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Last Name

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Date of birth - (Year / Month / Day)

Gender

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You need to input a valid value for field: Email

Please select this checkbox to indicate that you have read and agreed with our Plan Terms & Conditions.

I understand that I cannot change my plan after confirming as per plan terms.

Please review your data and confirm your decision:

Student ID number
Plan Selected
First Name
Last Name
Date of Birth	2025-05-09
Gender
Email

Please wait while your FlexPlan is registered.

Confirmation #

That is it!

Your SpeakUp flexible Insurance plan details will be emailed to you shortly.

Thanks for Speaking Up!

Cannot be undone

Part Time Student Opt-In

Family Opt-In

Student information

Dependents information

Please select your program

You need to input a valid value for field: School

Add dependants is only available to students starting in Winter Semester 2023.

ARE YOU ENROLLED IN THE HEALTH & DENTAL PLAN?

You cannot add dependants unless you have completed a part-time or graduate opt-in application and paid the necessary fee.

Part-time and graduate opt-in is only available to students enrolled in Winter Semester 2023

Available options rates

Eligibility Requirements

OPT-IN PROVISION
A Participant Student may elect the family plan at any time within 30 days of the effective date of insurance of the Participant Student. The family plan will not be accepted if the Participant Student does not exercise this option within the 30 day period.

IMPORTANT NOTES
This online Family opt-in is available to full-time May start students only.

Family coverage is NOT instant, all family members are added ONCE the family opt in has concluded and we have received the enrollment list from your College.

If you are NOT a May intake student, you ARE NOT eligible for family benefits. Please be aware that although the online system will accept your request. Your payment will be returned to you once the opt-in period has concluded.

* I consent that ACL Student Benefits Ltd has my permission to directly send me email regarding my benefit plan.

Terms & Conditions

DEFINITIONS
“Participant Student” means a full-time non Canadian student of the College, their accompanying Spouse and accompanying Dependent Children, who are in good health, and have passed all medical requirements to enter Canada, and for whom the applicable premium has been paid

“Dependent Child” means any natural child, step-child, or legally adopted child of the student, who receives support and maintenance from the student and is; (a) under 21 years of age and unmarried; or (b) 21 years of age but less than 26 years of age, unmarried, and is a full-time student in Canada; or (c) mentally or physically infirm. This shall also include a child of the student’s spouse who lives with the student in a parent-child relationship.

“Spouse” means a person who is under the age of 65 and; (a) to whom the student is legally married; or (b) to whom the student is married by a marriage that is voidable and has not been declared null and void; or (c) with whom the student has continuously cohabited and who has been publicly represented as the student’s spouse for a minimum of 12 months immediately before a loss is incurred under the policy.

EFFECTIVE DATE OF INSURANCE OF AN INSURED PERSON
Eligible Spouse Dependent Child shall become an insured on the effective date of the confirmation of enrolment. Spouses and Dependent Children who are hospitalized on their effective date of coverage will only become eligible on the date they are released from the Hospital.

TERMINATION OF INSURANCE
For the insured Spouse and/or insured Dependent child, coverage terminates on the earliest of:
(a) the date such person becomes ineligible for coverage; and
(b) the date a Participant Student’s insurance is terminated;
(c) the date such person becomes eligible under a Canadian federal/provincial health plan or other group insurance plan or;
(d) August 31st, 2025.

FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT
In accordance with the Freedom of Information and Protection of Privacy Act, this is to advise you that the personal information collected on this form will be used for administrative purposes by the College and will be submitted to the insurance broker and carrier to process your coverage. Any questions concerning the collection of this information may be directed to the Students' Association Office.

Please only list the last 9 digits of your student ID number Last 7 digits of your Student Number Last 6 digits of your Student Number Please enter your Student ID number

You need to input a valid value for field: Student ID number

I Agree

This Student ID has already Opt-In for this session.
You will be able to Opt-In again after this date:

Sorry this Opt-In session is over.

First Name

You need to input a valid value for field: First Name

Last Name

You need to input a valid value for field: Last Name

Initial (optional)

Date of birth - (Year / Month / Day)

Gender

You need to input a valid value for field: Gender

Street

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City

You need to input a valid value for field: City

Province

You need to input a valid value for field: Province

Postal Code

You need to input a valid value for field: Postal Code

Phone Number

You need to input a valid value for field: Phone Number

You need to input a valid value for field: Email

Campus

You need to input a valid value for field: Campus

Name of Program

You need to input a valid value for field: Name of Program

Graduate or Part-Time

You need to input a valid value for field: Part-Time or Graduate

Domestic or International

You need to input a valid value for field: Domestic or International

Home Province

You need to input a valid value for field: Home Province

Coverage for

You need to input a valid value for field: Coverage

The Next button will be enabled once all informations about your dependents is complete.

Choose an option

	Option	Price

Please wait while your payment is registered.

The payment failed. Please try again in a few minutes.
If the problem persists, you can contact us via email

Sorry this Opt-In session is over.

Confirmation #

That is it!

Your Opt-In details will be emailed to you shortly.

Thanks for Speaking Up!

Opt-Out

Please select your program

You need to input a valid value for field: School

Please only list the last 9 digits of your student ID number Last 7 digits of your Student Number Last 6 digits of your Student Number Please enter your Student ID number

You need to input a valid value for field: Student ID number

I Agree

This Student ID has already Opt-Out for this session.
You will be able to Opt-Out again after this date:

Campus

Program

You need to input a valid value for field: Program

Year of Study

You need to input a valid value for field: Year of Study

First Name

You need to input a valid value for field: First Name

Last Name

You need to input a valid value for field: Last Name

Date of birth - (Year / Month / Day)

Gender

You need to input a valid value for field: Gender

Address

You need to input a valid value for field: Address

City

You need to input a valid value for field: City

Province

You need to input a valid value for field: Province

Postal Code

You need to input a valid value for field: Postal Code

Phone

You need to input a valid value for field: Phone

You need to input a valid value for field: Email

I am currently not in Canada

I am an international student and I have an OHIP card

Please attach a picture of your OHIP card:

You must include a picture of your OHIP card

You must agree to the terms to continue

I wish to opt out of

Attention: Band Sponsored Students
Please Note: If your band requires you to opt-out of the Student Health Plan, the refund will be refunded/mailed to the band directly.

If your Band has agreed to pay your Full tuition fees please check here

Band Name

You need to input a valid value for field: Band Name

Band Address

You need to input a valid value for field: Band Address

Band City

You need to input a valid value for field: Band City

Band Postal Code

You need to input a valid value for field: Band Postal Code

Band Province

You need to input a valid value for field: Band Province

You must agree to the terms to continue

Proof of required coverage:

The Next button will be enabled once all proofs are complete.

Refund Method

Account Holder (must be the students name and account)

You need to input a valid value for field: Account Holder

Transit Number (5 digits. Where can I find this number?)

You need to input a valid value for field: Transit Number

Institution (3 digits. Where can I find this number?)

You need to input a valid value for field: Institution

Account Number (Where can I find this number?)

You need to input a valid value for field: Account Number

You are about to opt-out of your benefit coverage.
This means your coverage you selected to opt out of will terminate and you will not be able to make claims. This action cannot be reversed nor can you opt out later for an additional benefit or change the benefit you are opting out of.

Student ID number
Campus
Program
Year of Study
First Name
Last Name
Address
City
Province
Postal Code
Date of Birth
Gender
Phone
Email
Opt Out of
Refund Method	Cheque Direct Deposit Refund will be credited to the student account	Band ()

If you wish to proceed with opting out of your benefit coverage, press Confirm. If you want to change details, press Previous.
If not, press Cancel.

Please wait while your Opt-Out is registered.

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Black Out Period Information

Please note that there is a black out period for fall semester 2018 from September 1st to October 12th, 2018. This allows administration time to ensure all students on the plan are registered as full-time students. IGNITE's Flexible Health and Dental plan is retroactive to September 1st, 2018 and all claims submitted during the blackout will be reviewed and processed beginning October 13th, 2018.

Claims Submission Delay Disclaimer

Hello UNB Grads,

Welcome to your first year as a member of the WeSpeakStudent benefits plan.

Our team is excited to have you onboard and we want to ensure you get the most out of your health care.

This year has come with unprecedented changes and setbacks. Unfortunately, one of these setbacks is a delay in getting UNB Grads uploaded and active. This technicality means that you won't be able to submit claims or that your claims may temporarily be rejected until October 1st, 2023. You are still covered from September 1st, 2023, however, please hold onto any receipts or invoices you collect during the month of September so that when the systems are up and running normally, you may submit your claims and receive your reimbursements.

We understand the inconvenience of this situation and appreciate your patience while we navigate this issue.

Thank you!

Purchase Out of Province Travel Insurance

students and employees traveling outside of Ontario on a approved activity of up to 180 days are required to purchase the following Travel Insurance.

You must purchase coverage from the day you leave Ontario to the day you return to Ontario.

To be eligible for this insurance:

You must be covered under a provincial health insurance plan, or other equivalent insurance plan, and;
You must be a registered student or a employee

If you are traveling for a period of more than 180 days, please email global.learning@senecapolytechnic.ca for guidance on how to purchase additional coverage.

Upon purchase:

You will receive an email with the details of your insurance coverage.
- If you would like to read the detailed coverage prior to purchase, please visit the 'Travel Benefit Summary'.
The email will include a confirmation number.
- Seneca students – this confirmation number is required to complete specific forms prior to your departure on your Seneca activity.

Cost: per day

Coverage Includes:

Standard Medical Coverage
$5 Million Lifetime Maximum
Trip Cancellation & Trip Interruption
$2K for Lost Baggage
$50K for Accidental Death & Dismemberment
$15K for Repatriation
$30K for Medical Evacuation
Security Evacuation
War risk, terrorism risk, nuclear attacks, biological attacks, or chemical attacks are insured
90-day Pre-existing Condition

For a list of exclusions, please click here

Please select this box to confirm you have read the information and agree to continue.

You need to agree to the terms

You need to input a valid value for field: The item that best describes you

As an international student at Seneca, you may have Travel Insurance coverage through Seneca’s International Student Health Insurance plan with MorCare. International students with MorCare insurance coverage during their Seneca activity do not need to make this additional purchase of coverage UNLESS you are traveling on a Seneca activity for more than 180 days.

Are you travelling outside of Ontario on a Seneca activity that is more than 180 days?
Yes No

Enter your Student ID Number or Employee ID Number:

You need to input a valid value for field: Student Number or Employee Id

First Name

You need to input a valid value for field: First Name

Last Name

You need to input a valid value for field: Last Name

Date of birth - (Year / Month / Day)

Phone Number

You need to input a valid value for field: Phone Number

You need to input a valid value for field: Email

Mailing Address

Street

You need to input a valid value for field: Street

City

You need to input a valid value for field: City

Province

You need to input a valid value for field: Province

Postal Code

You need to input a valid value for field: Postal Code

Destination of Travel

You need to input a valid value for field: Destination of Travel

What date do you depart Ontario? - (Year / Month / Day)

What date do you return to Ontario? - (Year / Month / Day)

The rate is per day (minimum of days)

days x = + tax =

Confirmation #

That is it!

Thank you for your purchase. Your confirmation number is . Your travel card and travel brochure have been emailed to you. Please ensure you review the material before your trip.

The payment failed. Please try again in a few minutes.
If the problem persists, you can contact us via email

Flex Plan

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Thanks for Speaking Up!

Part Time Student Opt-In

Family Opt-In

Student information

Dependents information

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Thanks for Speaking Up!

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Sadly, your application could not be saved

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That is it!

Black Out Period Information

Claims Submission Delay Disclaimer

Purchase Out of Province Travel Insurance

Coverage Includes:

Mailing Address

That is it!

Exclusions