Request to add dependent children
CEGEP

 
 
This form is for students who wish to extend their coverage to their dependent children. In the winter semester, the addition of dependents is only available to new students. Please note that if the primary insured member loses their student status or coverage, their dependents automatically lose their coverage without the possibility of a refund.
 
IMPORTANT: This form is for students who wish to extend their coverage to their dependent children. In the winter semester, the addition of dependents is only available to new students. Please note that if the primary insured member loses their student status or coverage, their dependents automatically lose their coverage without the possibility of a refund.
 
Contribution cost per dependent child = Annual contribution to your association’s plan (health, dental, accident and travel)
 

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

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