Health / dental insurance plan



This form is for students who have permanently opted out of the complementary health and dental plan and who wish to reinstate the plan during the modification period at the beginning of the semester. If you need more information, please do not hesitate to contact us. We will be happy to answer your questions.

IMPORTANT : Be sure to include all the supporting documents needed to evaluate your file (proof of loss of coverage, account statement and other documents). If the supporting documentation is not received by the end of the modification period, your reinstatement request may be denied. Also, be sure to contact Major Plan to find out the cost of the reinstatement fee that applies to your situation.

2 payment options available (the contribution must be paid in one (1) payment)


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