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Downloads
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Conversion Plan Rates
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Common Downloads
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Health Claim Form
Click here to download file
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Dental Claim Form
Click here to download file
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BUSU Brochure
Click here to download file
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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.
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Application For Family Coverage
Click here to download file
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Travelling To Cuba - Important Notice
Click here to download file
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Mondial Confirmation Letter
Click here to download file
Brochures
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BUSU Sum of Health Benefits
Click here to download file
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BUSU Fact Sheet
Click here to download file
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BUSU Brochure
Click here to download file
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Travel Assist Brochure
Click here to download file
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Conversion Plan/Graduate Health & Dental Brochure
Click here to download file
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BUSU Sum of Dental Benefits
Click here to download file
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Mondial Introduction and Claim Form
Click here to download file
Claim Forms
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BUSU Accident Claim
Click here to download file
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BUSU Claim for Health Benefits
Click here to download file
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BUSU Claim for Dental Benefits
Click here to download file
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Mondial Introduction and Claim Form
Click here to download file
Miscellaneous
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BUSU Studying Abroad
Click here to download file
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Black-out Avoidance Form
Click here to download file
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Drug Card
Click here to download file
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Travelling To Cuba - Important Notice
Click here to download file
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Mondial Confirmation Letter
Click here to download file
Application / Change Forms
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BUSU Application for EHC - 2nd Term
Click here to download file
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BUSU Application for Family Coverage
Click here to download file
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BUSU Status Change Form
Click here to download file
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Conversion Plan/Master Application/Enrolment Form
Click here to download file
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Electronic Deposit
Click here to download file
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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.
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Drug Card
Click here to download file
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Application For Graduating Student Coverage
Click here to download file
Enrolment Forms
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Health Care Coverage - 2nd Term
Click here to download file
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BUSU Application for Family Coverage
Click here to download file
Direct Deposit Registration
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Electronic Deposit
Click here to download file
Coverage for Graduating Students
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Graduating Student Plan
Specifically designed for Graduating Students who need Health Coverage.
Click here to download file
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Application For Graduating Student Coverage
Click here to download file
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Alberta Rates
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Atlantic Rates
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British Columbia Rates
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Manitoba/Saskatchewan Rates
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Newfoundland Rates
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Ontario Rates
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Joanne Matko
Student Alumni Centre
Room 314
905-688-5550 x 4194