Graduate Students' Association of Carleton Opt-In Application: Winter 2026 Logo

  • Graduate Students' Association of Carleton University

    Health and Dental Plan Opt-In Form: Winter 2026

  • THIS OPT-IN FORM IS FOR NEW WINTER 2026 GRADUATE STUDENTS ONLY!

    Coverage period: January 1, 2026 to August 31, 2026.

    The Winter opt-in period is open from December 19 until January 31, 2026. (New Winter student registrants only)

    Full-time, part-time, and co-op students beginning as new Carleton University graduate students in January 2026 can use this form to opt-in to the GSA Carleton health and dental plan. These students may also elect to opt-in a spouse, common-law partner, and/or dependent children at an additional fee.

    Students who began studying in Fall 2025 are NOT eligible to opt in at this time.

    Approved applications will be processed in late February/ early March 2026. Once you are activated on the plan, you will receive an activation email that will include information and instructions on using your plan and how to make claims. Your coverage will be backdated to January 1, 2026. If you have any questions, have any issues, or need help with the opt-in process, please contact gsacarleton@studenthealth.ca during the opt-in period for assistance. Please contact us before the opt-in deadline closes to ensure we can assist you. We will not be able to do so if the deadline has passed.

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  • As a new January 2026 FULL-TIME student, you are not automatically charged by Carleton University for the GSA health and dental plan. To confirm that you have not been charged, your student account should not show the charge Accident/Drug/Dental Insurance of $501.36. If you see this charge to your student account, you are already enrolled to the plan and not eligible at this time to opt-in dependents. 

  • As a PART-TIME or CO-OP student, you are not automatically charged by Carleton University for the GSA health and dental plan. To confirm that you have not been charged, your student account should not show the charge Accident/Drug/Dental Insurance of $501.36. If you see this charge to your student account, you are already enrolled to the plan and not eligible at this time to opt-in dependents.

  • Dependent Information (1 dependent)

    You have selected to opt-in yourself and 1 dependent. Fill in your dependent's information if you are opting-in your common-law partner/spouse or child. **the additional person must be dependent of the student, which include common law partner/spouse and dependent children. All dependent children must be under the age of 21 unless enrolled in post-secondary school, full-time, then up to age 25.
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  • Dependents Information (2 dependents or more)

    Your have selected to opt-in yourself and 2 or more dependents. Fill in your dependents' information if you are opting-in your common-law partner/spouse or children. **the additional persons must be dependent of the student, which include common law partner/spouse and/or dependent child(ren). All dependent children must be under the age of 21 unless enrolled in post-secondary school, full-time, then up to age 25. Complete up to 5 dependents. If you have more than 5 dependents to opt-in, please email gsacarleton@studenthealth.ca.

  • Note: If you are opting-in your spouse/common law partner, you must enter their details in the Dependent #1 fields. If you are not opting-in a spouse/common law partner, select child and enter your first child's details. 

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  • Your Coverage

    Based on your selections, your coverage is as summarized.
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  • By clicking the below "Submit Opt-in Application and Make Payment" button, you:

    1. Declare that you are a Carleton University graduate student who is eligible to opt-in to the Carleton University Graduate Students' Association health and dental plan and that any additional persons included in this application are a common law partner/spouse and/or dependent child(ren) which must be under the age of 21 unless enrolled in post-secondary school, full-time, then up to age 25;
    2. Grant the Carleton University Graduate Students' Association to immediately charge your provided payment card with your selected opt-in plan value;
    3. Agree that your application will be reviewed for accuracy and will be verified with Carleton University enrolment data;
    4. Understand that this is an application to opt-in to the Carleton University Graduate Students' Association health and dental plan and that enrolment is not guaranteed nor instantaneous.
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