Health and Dental Claim Forms

Health and Dental Claim Forms are available in the GSU Office, or can be downloaded from Green Shield's website.

Opt-in/Opt-out Forms

The opt-out and opt-in date for the current semester has already passed. The opt-out and opt-in date for Fall 2010 is September 29th, 2010.

1. Opt-In Form (not currently available for Fall 2010)

To add your family members to the plan, you must return this form with payment to the Graduate Students' Union (GSU) by September 29th, 2010.

2.  Opt-Out Form (.DOC format) (Fall 2010)

Opt-Out Form, for students with existing spousal, parental or other health insurance coverage: You must return this completed form and documentation (i.e., proof of existing coverage) by September 29th, 2010 for the Fall 2010 semester to the Graduate Students’ Union in person or by fax. ***

Benefit Booklet 2009-2010

Outline of Benefits (link to Green Shield site)

For members of the GSU health and dental insurance plan, this document from Green Shield details your insurance coverage and benefits for 2009-2010)

Health and Dental card

Health and Dental card (.PDF format)

For students on either/both the Health and Dental plans. Your card can also be obtained by contacting the GSU Office ( This e-mail address is being protected from spambots. You need JavaScript enabled to view it ).