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Niagara College Student Administrative Council Inc.

Individual Student Opt IN Form 2020-2021

This form is to be used ONLY when a student does not normally qualify for benefits. 

NOT AVAILABLE FOR SPRING/SUMMER TERM!

STUDENT INFORMATION *mmandatory

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Niagara College Student Administrative Council Inc.

Individual Student Opt IN Form 2021-2022

This form is to be used ONLY when a student does not normally qualify for benefits. 

NOT AVAILABLE FOR SPRING/SUMMER TERM!

STUDENT INFORMATION *mandatory

After reviewing the flex plan options found on www.wespeakstudent.com, please indicate below which Flex Plan Option you would like to enroll in. 

Please indicate one of the following options: 
Balanced, Enhanced Drug/Vision, Enhanced Dental/ Vision, Enhanced EHC/Vision.

This form is to be used ONLY when a student does not normally qualify for benefits. If you are a full-time fee paying student, you do NOT complete this form. By clicking 'Proceed to Checkout' you are agreeing that the above information is accurate, and true. 

Thanks for your order!

 Domestic Student Health Plan - Opt In

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If you are not currently enrolled in the health plan, but would like to be, you can use the form below to opt in.