Thank you for using the NWPSA opt out System.<\/strong><\/p>Once your request has been reviewed and approved the fee will be reimbursed and credited to your online student tuition account. If you have paid your full tuition a refund will be issued. At any time during the following 6 months, you may be required to submit physical proof of your alternate coverage.<\/p>
This is receipt of your request to opt out only.<\/strong><\/p>","WaiverMessage":"Upon submitting this waiver, I acknowledge that I am opting out of the NWPSA Health and Dental Plan for the period January 1, 2025 to August 31, 2025 only. I acknowledge that at any time during the following six months, I may be required to submit proof of alternate coverage again. I also acknowledge that should I lose coverage from my existing extended health and dental provider, I may be required to be added to the NWPSA Health and Dental Plan and must notify Student Services of the loss of coverage and fill out the applicable forms. If I wish to cancel my current opt out and receive coverage under the NWPSA Health and Dental Plan, I may do so by filling out the applicable waiver cancellation form available from Student Services, provided I meet all the eligibility requirements and deadlines.<\/p>","FileProofOfCoverage":"No files were attached.","AnswerStatus":false,"received":false,"New":false,"Denied":false,"Held":false,"Approve Both":false,"Approve Health":false,"Approve Dental":false,"Approve Medical":false,"Approve Health and Dental":false,"Approve Medical Health and Dental":false,"Approve Medical and Dental":false,"Approve Medical and Health":false,"OptInMessage":"
This form allows part-time students who were not automatically assessed the fee to opt in to the benefit plan. This is a two step process: <\/strong><\/p>- Fill out the following form below before OptInEnd<\/strong>.<\/li>
- In order add yourself to your plan, you must provide payment before OptInDate to the Finance Office, AdminAddress<\/li><\/ol>","OptInEnd":"Fri., January 6th, 2017","ActBenEnd":"Mon., September 18th, 2017","ActBenMessage":"
This form allows you to gain access to your benefits during The Blackout Period.<\/strong><\/p>PLEASE NOTE THAT WHEN YOU APPLY TO AVOID THE BLACKOUT IT IS NOT INSTANTANEOUS~~IT WILL REQUIRE A MINIMUM OF 48 HOURS TO PROCESS.<\/u><\/span><\/strong><\/p>At the beginning of each enrolment period your pay direct card does not work until the eligibility list of who\u2019s covered is completed. We have worked with the Administrator to allow all eligible members to activate their card and avoid this Blackout Period.<\/p>
You will receive confirmation by email, when you have been approved.<\/p>
Should you need to purchase prescription drugs, or incur other health\/dental claims expenses during this time you should submit the claim to Campus Trust.<\/p>
If you need help, please contact the On Campus Administrator.<\/p>","RequestCoverageEnd":"Wed., May 15th, 2024","RequestCoverageMessage":"
To enroll your family in this plan you must complete the process by May 15, 2024<\/strong>.<\/span><\/span><\/p>The additional fee will be paid via your Student Association Office. Please visit:<\/span><\/span><\/p>G123 10726 106 Avenue, Grande Prairie, AB. T8V 4C4.<\/span><\/span><\/p>"}
- Location ICON for this Member: domestic.svg
- PATH: https://nwpsa.drawbridge.ca
- dual_student_validation_lookup says - coming in: SIN: 999999011 Plan:
- dual_student_validation_lookup says - Number Rows: 1
- dual_student_validation_lookup says - coming in: SIN: 999999011 Plan:
- dual_student_validation_lookup says - Number Rows: 1
- dual_student_validation_lookup says - coming in: SIN: 999999011 Plan:
- dual_student_validation_lookup says - Number Rows: 1
- dual_student_validation_lookup says - coming in: SIN: 999999011 Plan:
- dual_student_validation_lookup says - Number Rows: 1
- dual_student_validation_lookup says - coming in: SIN: 999999011 Plan:
- dual_student_validation_lookup says - Number Rows: 1
- dual_student_validation_lookup says - coming in: SIN: 999999011 Plan:
- dual_student_validation_lookup says - Number Rows: 1
- file_upload : page
- optout : page