Request to add dependents
Take advantage of an affordable family plan
To take advantage of an affordable family plan, you can extend your plan coverage to your children and/or spouse by completing the following form during the change period. Be sure to review the eligibility requirements under “Authorizations and Declarations” at the bottom of the form.
Be sure to visit your student association/educational institution’s page to find out all the details of your plan and the amount you will have to pay to add your dependents.
Coverage for your dependents will end on August 31. Please note that in the fall, if you are still a student and wish to maintain coverage for your dependents, you must send us this form along with your premium payment during the plan change period.
Continuing education specification
This form allows you to extend your plan coverage to your family members (children and/or spouse) for a maximum period of 12 months. Following the initial coverage period, if you remain a student, you must send us this form along with the premium payment so that your family members can maintain their coverage. The request must be submitted during the period when changes to your plan can be made.
Steps to Follow
- Check the annual membership fee on your student association’s page → planmajor.ca.
- Fill out and sign the form.
- To submit the documents via a secure link to protect your personal information, click here: Request a secure link
- Or email the form to the following address → student@majorplan.ca
- Wait for your application to be reviewed. A member of our team will contact you within 7 business days to confirm the membership fee and payment terms.
- Upon receipt of payment, a confirmation will be emailed to you within 7 business days. Keep this confirmation for your records.
