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Downloads
Download: Download Center
-Conversion Plan Rates
Click here to download file


Common Downloads

-Health Claim Form
Click here to download file

-Dental Claim Form
Click here to download file

-BUSU Brochure
Click here to download file

-Opt-Out Application & Waiver Form
The website currently has information for the the 2009/2010 policy year and will be updated for the 2010-2011 policy year in mid-August.


-Application For Family Coverage
Click here to download file

-Travelling To Cuba - Important Notice
Click here to download file

-Mondial Confirmation Letter
Click here to download file


Brochures

-BUSU Sum of Health Benefits
Click here to download file

-BUSU Fact Sheet
Click here to download file

-BUSU Brochure
Click here to download file

-Travel Assist Brochure
Click here to download file

-Conversion Plan/Graduate Health & Dental Brochure
Click here to download file

-BUSU Sum of Dental Benefits
Click here to download file

-Mondial Introduction and Claim Form
Click here to download file


Claim Forms

-BUSU Accident Claim
Click here to download file

-BUSU Claim for Health Benefits
Click here to download file

-BUSU Claim for Dental Benefits
Click here to download file

-Mondial Introduction and Claim Form
Click here to download file


Miscellaneous

-BUSU Studying Abroad
Click here to download file

-Black-out Avoidance Form
Click here to download file

-Drug Card
Click here to download file

-Travelling To Cuba - Important Notice
Click here to download file

-Mondial Confirmation Letter
Click here to download file


Application / Change Forms

-BUSU Application for EHC - 2nd Term
Click here to download file

-BUSU Application for Family Coverage
Click here to download file

-BUSU Status Change Form
Click here to download file

-Conversion Plan/Master Application/Enrolment Form
Click here to download file

-Electronic Deposit
Click here to download file

-BUSU Opt-Out & Waiver Form
The website currently has information for the the 2009/2010 policy year and will be updated for the 2010-2011 policy year in mid-August.


-Drug Card
Click here to download file

-Application For Graduating Student Coverage
Click here to download file


Enrolment Forms

-Health Care Coverage - 2nd Term
Click here to download file

-BUSU Application for Family Coverage
Click here to download file


Direct Deposit Registration

-Electronic Deposit
Click here to download file


Coverage for Graduating Students

-Graduating Student Plan
Specifically designed for Graduating Students who need Health Coverage.
Click here to download file

-Application For Graduating Student Coverage
Click here to download file

-Alberta Rates
Click here to download file

-Atlantic Rates
Click here to download file

-British Columbia Rates
Click here to download file

-Manitoba/Saskatchewan Rates
Click here to download file

-Newfoundland Rates
Click here to download file

-Ontario Rates
Click here to download file

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Joanne Matko
Student Alumni Centre
Room 314
905-688-5550 x 4194