Your plan from AGEUQTR

The Plan

Plan Enrollment Family Coverage Travel Assistance FAQ

You are automatically enrolled in a student supplemental group insurance plan through your student association. For less than $21/month, you can benefit from advantageous coverage in addition to a host of discounts and preferential rates from our Discount Network partners.

If, however, you do not wish to take advantage of these benefits, you may opt out of the plan during the coverage amendment and withdrawal period. You may already be covered by another insurance plan, so it is important that you confirm your coverages, compare them, and that you consider the option to combine benefits before your withdrawal. For more information on the coordination of benefits, please refer to the Claims 101 section.

AGEUQTR provides you with extended health insurance, dental and eye care, as well as accident and travel insurance.

Plan Enrollment

The insurance premium is included in your tuition invoice. It is billed into two installments: the first in the Fall semester, and the second in the Winter semester. All academic fees for the current semester must be paid before you can receive reimbursement.

If applicable, fees include premiums, administration fees, commissions, withholdings, and taxes that may apply to the plan. 

Family Coverage

During the amendment period, you may extend plan coverage to your dependents (children and/or spouse), providing an affordable family plan.

Amendment Period:  

Fall Semester – August 15th to September 30th

Winter Semester – January 1st to January 31st 

To do so, please complete and forward the Family Coverage form for your dependents before the end of the modification period. Our team will then analyze the application received and contact you within 5 business days. Wait for the confirmation of a member of our team to know the amount of the contribution to be paid as well as the payment terms.

Family Coverage

Travel Assistance

Here is the phone number to contact for travel insurance assistance.

Travel Insurance Assistance 1 877.207.5018

Travel Passport

FAQ (Coming Soon)

Coverage Offered by

Heath and dental: Humania
Accidents and travel: AIG Insurance Company of Canada

Coverage

2024-2025 Coverage

Claims 101

Important Numbers Health and Dental Claims Drug Claims Accident and Travel Claims Previous Year’s Claims Coordination of Benefits

Please note that claims processing is paused during the change/withdrawal period.

Please note that you will be able to create your profile on the mobile application and web portal only after the amendment and withdrawal period ends.

Important Numbers

Would you like to make a claim and don’t know which numbers to use? Here’s a list of important numbers to use. This is not a sample card, but your numbers. Your certificate number corresponds to our student number, and your dental health group number is 22396.

Health and Dental Claims

There are several ways to submit a claim.

When making claims, it is important to provide your name, permanent code and your policy/group number. Additionally, by providing your direct deposit information, you will receive your payment much more quickly

Claims will be processed after the amendment and withdrawal period ends. Claims are processed within six (6) business days of document receipt.

When your tuition fees have been fully paid, you will be able to submit your claims retroactively. Your request for reimbursement must be received by Plan Major’s claims department no later than 365 days after the date you received the service. It is also not recommended to wait this long to submit your claims.

• By Email

  To submit a claim by email, scan or take a picture of your invoice (dental or paramedical) using your smartphone, and email it to claim@majorplan.ca.
  Your name, your permanent code, your policy number must be included at the top of the email, as well as a void cheque.

• Via Mobile Application or Web Portal

  Claims can be submitted through our mobile app and web portal. Submission of claims and uploading of receipts can be done directly from your profile. In addition, we highly recommend that you provide your banking information under “Direct Deposit” if you wish to receive your reimbursement more quickly.
  You will be prompted to create an ID using your certificate number (permanent code), policy/group number, date of birth, and postal code noted in your academic file.

   

  Web PortalGoogle PlayApple Store

• Directly from the Health Care Professional

  Dental offices may submit a dental claim form directly if requested. The amount of the bill could be reduced immediately, depending on the terms of the coverage. The TELUS ADJUDICARE 34 / AUTOBEN alphanumeric identifier, policy/group number, and your permanent code must be provided to the professional when the form is being filled out.

• By Fax or Mail

  Submit your claims by providing copies of your health care receipts and/or claim form by fax, or mailing them to the following address:

  Major Plan
  CP 70025 SUCC QUÉBEC-CENTRE,
  Québec, QC, G2J 0A1

  Fax: 1-819-205-0714

  Please ensure that your name, your permanent code, as well as your policy/group number are included in all your correspondence with us. Please note: in order to expedite the repayment of your claims, it is highly recommended that you send us a void cheque.

Watch the video to learn how to make a claim ↓

Steps to submit a claim

Drug Claims

Since Plan Major is the second payer for your drug coverage, you must first submit your claims to either RAMQ or another private insurer.

If you were covered by private insurance and have lost that coverage, you must register with RAMQ before sending us your claims.

Accident and Travel Claims

To file a claim for accident and travel insurance, we invite you to contact AIG Insurance Company of Canada (AIG) directly. Please note that there are two separate telephone numbers to reach them, depending on whether you are making an accident or travel claim.

• Accident

  For accident claims, you must contact AIG at 1 877 317-8060. Please note that accident coverage always applies second when you already have health coverage. If in doubt, don’t hesitate to contact us. We’ll be happy to refer you and help you through the process. Please ensure that your name, your permanent code, and your policy/group number are included in all your correspondence with AIG.

• Travel

  For travel claims, please contact AIG directly at 1 877 207-5018. Please ensure that your name, your permanent code, and your policy/group number are included in all your correspondence with AIG.

Previous Year’s Claims

You may submit your claims within 365 days of the date the service was received. For example: If you consulted a health specialist on October 13, 2023, you have until October 13, 2024 to submit a claim for this service.

Refer to the coverage in effect at the time the service was obtained to determine the eligible claim amount.

Coordination of Benefits

Since you may be already covered by another insurance plan, your association offers you a supplemental insurance plan that allows the coordination of benefits for which you are eligible. Coordination of benefits allows you to combine the benefits and services from your student plan with those received from your parents’, your spouse’s, or your employer’s plan. It is important to confirm the existence of other coverages and to compare them. Claims for reimbursement can be made to multiple plans, however, the total sums received under all claims may not exceed 100% of the costs incurred. For this reason, it is important to determine the order in which claims should be submitted to your various group plans to coordinate benefits.

The order in which claims are submitted to multiple group plans is determined by your coverage type.

• Policyholder: your employers’ or student association’s plan.
• Dependent and Spouse: your parents’ or your spouse’s employers’ plan.

• Coordination with Your Employer’s Plan

  The procedure to coordinate your student association’s plan with your employer’s plan is as follows:

  1. Submit your health or dental claim to your employer’s plan’s insurance company, making sure to keep a copy of the receipts if submitted by mail.
  2. Once the claim is processed, you will receive a “Statement of Benefits” from your employer’s insurance company.
  3. Submit your claim to Major Plan along with a copy of your health care or dental receipts, the appropriate form, and the “Statement of Benefits.”
  4. Major Plan will send you the eligible amount, and the second “Statement of Benefits” will be available for download from the web portal.

• Coordination with Your Parents’ or Spouse’s Plan

  The procedure to coordinate your student association’s plan with your parents’ or spouse’s plan is as follows:

  1. Submit your health or dental claim to Major Plan, making sure to keep a copy of the receipts if submitted by mail.
  2. Once the claim is processed, download the “Statement of Benefits” from the Major Plan web portal.
  3. Submit your claim to your parents’ or spouse’s plan’s insurance company along with a copy of your health care or dental receipts, the appropriate form, and the “Statement of Benefits.”
  4. Your parents’ or spouse’s insurance company will send you the eligible amount along with a second “Statement of Benefits.”

• Coordination with Two (2) Student Supplemental Plans

  You may be studying in two (2) educational institutions and benefit from a supplemental insurance plan for both. If this is the case, the procedure to coordinate both of your student association’s plans may vary according to your student status (full-time or part-time). Full-time or part-time student status is established by your educational institution.

   

  If you have FULL-TIME student status with one of your educational institutions, and PART-TIME status with the other:

  1. Submit your health or dental claim to the plan insurance company for the educational institution in which you have FULL-TIME student status, making sure to keep a copy of the receipts if submitting by mail.
  2. Once the claim is processed, you will receive a “Statement of Benefits” from this educational institution’s insurance company.
  3. Submit your claim to the plan insurance company for the educational institution in which you have PART-TIME student status along with a copy of your health care or dental receipts, the appropriate form, and the “Statement of Benefits.”
  4. The above educational institution’s insurance company will send you the eligible amount along with a second “Statement of Benefits.

   

  If you have the same student status in all your educational institutions FULL-TIME/FULL-TIME or PART-TIME/PART-TIME:

   

  When your student status is the same in both of your educational institutions, the order of precedence for the 1st payer is determined according to the coverage start date of the oldest plan.

  1. Submit your health or dental claim to the insurance company for the educational institution whose plan’s coverage start date is the oldest, making sure to keep a copy of the receipts if submitting by mail.
  2. Once the claim is processed, you will receive a “Statement of Benefits” from the educational institution’s plan insurance company.
  3. Submit your claim to your second plan’s insurance company along with a copy of your health care or dental receipts, the appropriate form, and the “Statement of Benefits.”
  4. The above insurance company will send you the eligible amount along with a second “Statement of Benefits.”

   

  If the precedence of the first payer cannot be established, your claim will be subject to a proration of the benefits, meaning that the benefits paid by the insurance plans are calculated according to the amount that would be paid by each plan if it was 1st payer. For more information, contact customer service.

   

  EXAMPLE: Eligible dental costs $70
  Plan A (Co-insurance 70%): Liability as 1st payer $49
  Plan B (Co-insurance 60%): Liability as 1st payer $42
  

  By adding the sums that would be paid by both plans as 1st payer, we get: $48 + $42 = $91 But the total sums received under both plans may not exceed the eligible costs of $70.

  Plan A (proration: $49 divided by $91 = 53.85%): Benefit paid $37.70

  Plan B (proration $42 divided by $91 = 46.15%): Benefit paid $32.30

• Take Careful Note

  Since you may be covered by more than one insurance plan, it is important that you inform your other insurance carrier. The total sums received under all your plans for a given item, service received, or care claimed may not exceed 100% of the eligible costs. In some cases, the total sums received under all your plans may be lower than the costs incurred for a given item, service received, or care claimed.

  Failure to provide all the information required for the proper assessment of your file, whether intentional or not, may result in the termination of your coverage plan.

Forms and Other Documentation

Below, you will find useful information such as coverage contracts, limitations, and the information management policy.

• Brochures from Previous Years

  2020-2021 coverage
  2021-2022 coverage
  2022-2023 coverage

• Forms

  Dental Claim Form

  Reinstatement

  Family Coverage

  Fracture Claim Form

• Coverage Contracts

  Health and Dental – coming soon

  Accident 2022-2023

  Travel 2022-2023

  Travel 2023-2024

• Limitations and exclusions

  Accident and Travel

• Information Documents

  Travel Passeport 

  Accident Plan 2022-2023

• Coverage offered by

  Heath and dental: Humania
  Accidents and travel: AIG Insurance Company of Canada

   

  

Withdrawal

Types of Withdrawal Withdrawal Period Request for Withdrawal

Enrolment in the student supplemental group insurance plan is automatic, however, you may opt-out, free of charge, during the plan’s amendment and withdrawal period.

Types of Withdrawal

Annual withdrawal–Annual withdrawal allows temporarily withdrawal from the plan for the current year. At the beginning of the following year, coverage is automatically reinstated, so you will have the opportunity to choose between maintaining the plan or withdrawing again during the plan’s amendment and withdrawal period. Members who registered for the Fall semester and have kept their plan may not withdraw during the Winter semester withdrawal period.

Permanent withdrawal–Permanent withdrawal permanently withdraws you from the plan for the duration of your academic career. As a result, it will not be necessary to withdraw every year, but coverage will not be reinstated, except under certain conditions.

• Students enrolled in the Winter semester

  A student registered in the Winter semester, regardless of whether he or she chooses to retain, modify or withdraw in the winter, will have to make the amendment or withdrawal again the following Fall semester. Similarly, the steps to add dependents must be done again.

Please note that you will be able to create your profile on the mobile application and web portal only after the amendment and withdrawal period ends.

Amendment and Withdrawal Period

Fall Semester – August 15th to September 30th

Winter Semester – January 1st to January 31th 

The amount of your premium will be refunded to you by Major Plan after the end of the withdrawal period.

Request for Withdrawal

The withdrawal request must be made within the prescribed time frame. You will have no other opportunity to exercise your opt-out option.

The amount of your contribution will be credited to you by your educational institution after the end of the withdrawal period.

Procedure

To opt out of the supplementary insurance plan, please go directly to your institution’s student portal.

Voici les étapes à suivre:

1. Log in to your student portal
2. In the “Services & Resources” category, find the “Finance” section.
3. Click on “Change insurance coverage”.

Student Portal