Status message

  • Translation status: null
  • Token Pattern: {"AnswerBusinessName":"\/AnswerBusinessName\/","submission_id":"\/SubmissionID\/","EmailHeaderImage":"\/EmailHeaderImage\/","UnionName":"\/UnionName\/","AdminAddress":"\/AdminAddress\/","AdminName":"\/AdminName\/","AnswerSchool":"\/AnswerSchool\/","AffiliateImage":"\/AffiliateImage\/","SchoolLogoImage":"\/SchoolLogoImage\/","AnswerSIN":"\/AnswerSIN\/","AnswerFirstName":"\/AnswerFirstName\/","AnswerLastName":"\/AnswerLastName\/","OptOutEnd":"\/OptOutEnd\/","ProofMessage":"\/ProofMessage\/","WaiverMessage":"\/WaiverMessage\/","FileProofOfCoverage":"\/FileProofOfCoverage\/","AnswerStatus":"\/AnswerStatus\/","received":"\/received\/","New":"\/received\/","Denied":"\/regretfully denied\/","Held":"\/held until we receive further information\/","Approve Both":"\/approved for both the Health and Dental Plan\/","Approve Health":"\/approved for the Health Plan\/","Approve Dental":"\/approved for the Dental Plan\/","Approve Medical":"\/approved for the Medical Plan\/","Approve Health and Dental":"\/approved for the Health and Dental Plans\/","Approve Medical Health and Dental":"\/approved for the Medical, Health and Dental Plans\/","Approve Medical and Dental":"\/approved for the Medical and Dental Plans\/","Approve Medical and Health":"\/approved for the Medical and Health Plans\/","OptInMessage":"\/OptInMessage\/","OptInEnd":"\/OptInEnd\/","ActBenEnd":"\/ActBenEnd\/","ActBenMessage":"\/ActBenMessage\/","RequestCoverageEnd":"\/RequestCoverageEnd\/","RequestCoverageMessage":"\/RequestCoverageMessage\/"}
  • Token Replacement: {"AnswerBusinessName":null,"submission_id":null,"EmailHeaderImage":"https:\/\/studentbenefits.ca:443\/sites\/default\/files\/sbta_email_header_logo.png","UnionName":"PBAS Basic Plan","AdminAddress":null,"AdminName":"Amie Greene","AnswerSchool":"The PBAS Group, PBAS","AffiliateImage":"https:\/\/studentbenefits.ca:443\/sites\/default\/files\/blank.png","SchoolLogoImage":"https:\/\/studentbenefits.ca:443\/sites\/default\/files\/logos\/Student Benefits Logo_Horizontal_0.png","AnswerSIN":null,"AnswerFirstName":null,"AnswerLastName":null,"OptOutEnd":"Fri., December 6th, 2024","ProofMessage":null,"WaiverMessage":null,"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>\r\n\r\n

      \r\n\t
    1. Fill out the following form below before OptInEnd<\/strong>.<\/li>\r\n\t
    2. In order add yourself to your plan, you must provide payment before OptInDate to the Finance Office, AdminAddress<\/li>\r\n<\/ol>\r\n","OptInEnd":"Wed., November 6th, 2019","ActBenEnd":"Wed., November 6th, 2019","ActBenMessage":null,"RequestCoverageEnd":"Sun., December 1st, 2024","RequestCoverageMessage":null}
    3. Location ICON for this Member: domestic.svg

My Notification

Sorry, the Opt In period for this form is currently unavailable.

Please contact your On-Campus Administrator or try again.

<< Back