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Common Downloads
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Health Claim Form
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Dental Claim Form
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Application For Family Coverage
Click here to download file
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WLU Brochure
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Travelling To Cuba - Important Announcement
Click here to download file
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Mondial Confirmation Letter
Click here to download file
Brochures
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WLU 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
Claim Forms
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WLU Claim for Health Benefits
Click here to download file
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WLU Accident Claim Form
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WLU Dental Claim Form
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Miscellaneous
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WLU Studying Abroad
Click here to download file
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Psycho Educational Assessment Form
Click here to download file
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Exception Request Form
Contact Health Plan Coordinator for instructions.
Click here to download file
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Drug Card
Click here to download file
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Travelling To Cuba - Important Announcement
Click here to download file
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Mondial Confirmation Letter
Click here to download file
Application / Change Forms
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WLU Application for EHC - 2nd Term
Click here to download file
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WLU 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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EFT Application
Click here to download file
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Drug Card
Click here to download file
Enrolment Forms
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Health Care Coverage
Click here to download file
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WLU Application For Family
Click here to download file
Direct Deposit Registration
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Direct Deposit
Direct Deposit saves paper, postage, and ensures you get your reimbursment money faster. Good for the environment, and for your pocket book!!
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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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
Click here to download file
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Master Application for Graduating Students
Click here to download file
Drug Coverage
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Natascha Witt
519.884.0710 x 3557