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This document is for enrolment in the GSA Health & Dental Plan for students at the University of Saskatchewan for the Fall 2011 term. It includes sections for personal information, self-enrolment,
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How to fill out GSA Health & Dental Plan Enrolment Form

01
Obtain the GSA Health & Dental Plan Enrollment Form from the official website or your HR department.
02
Fill in your personal information, including your name, address, and contact details in the designated sections.
03
Specify your eligibility category by selecting the appropriate option (e.g., employee, family member, etc.).
04
Indicate the type of coverage you wish to enroll in (health, dental or both).
05
Provide information regarding dependents, if applicable, including their names and relationship to you.
06
Review the plan options and select any additional benefits you want to include.
07
Read through the terms and conditions carefully before signing the form.
08
Sign and date the form to confirm your enrollment.
09
Submit the completed form to the appropriate HR or benefits office by the deadline.

Who needs GSA Health & Dental Plan Enrolment Form?

01
Employees of the GSA who wish to enroll in health and dental insurance coverage.
02
Eligible dependents of GSA employees who are to be included in the health and dental plan.
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People Also Ask about

An insurance verification form is a document that's used by businesses like car dealerships, healthcare facilities, and dental offices to determine whether a person has insurance coverage. Last updated May 12th, 2025.
Enrollment forms record whether employees have enrolled in or waived group benefits. For instance, if you have more than 50 full-time employees, you will need this data to complete IRS forms 1094 and 1095, which record health care coverage.
You can opt out completely from the OCAD U Health & Dental Plan upon showing proof of other equivalent health and dental coverage. You're responsible for paying all university fees within the prescribed deadlines. If you're planning to opt out of the Plan, pay your fees in full at the beginning of the school year.
This enrollment form allows individuals to apply for group health and dental coverage. It's designed for employees to provide necessary personal information, dependent details, and coverage choices.
An enrolment form is a document used to gather essential information from individuals who wish to join a program, class, or organization. It typically includes fields for personal details, such as names, contact information, and preferences.

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The GSA Health & Dental Plan Enrolment Form is a document used by eligible employees to enroll in health and dental benefit plans offered by the Government of Canada.
All eligible employees of the Government of Canada who wish to enroll in the health and dental plans are required to file the GSA Health & Dental Plan Enrolment Form.
To fill out the GSA Health & Dental Plan Enrolment Form, employees must provide personal information, select the coverage they wish to enroll in, and submit the completed form to their HR department.
The purpose of the GSA Health & Dental Plan Enrolment Form is to facilitate the enrollment process for eligible employees in the health and dental benefit plans and ensure accurate collection of necessary personal information.
The information that must be reported includes the employee's name, employee number, contact details, coverage choices, and any dependents they wish to enroll.
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