All University Health Insurance Plan (UHIP) applications

All University Health Insurance Plan (UHIP) applications

The University Health Insurance Plan (UHIP) is a mandatory basic medical insurance plan for international students, trainees and visitors (akin to OHIP for domestic students). Please submit this form as follows:

- international and domestic students: if the UHIP Office invites you to submit this application form
- International Visiting Research Trainees (IVRTs): once the UHIP or IVRT Office invites you to submit this form
- visiting scholars: after consultation with the UHIP Office
- foreign-born dependants (spouse and/or children of the above students and researchers): after their arrival in Canada

Please note that if a dependant arrived in Canada more than 30 days after this form was submitted, the UHIP insurer will charge a $500 to enroll them. If a dependant's insurance is being renewed in the academic year(s) following their arrival and enrollment occurs after September 30th, the insurer will charge a $500 late fee to renew their insurance.

DISCLAIMER: Do NOT submit this form if you are seeking to enroll in the York Federation of Students (YFS) Health Plan, the York University Graduate Students' Association (YUGSA) Health Plan, or the Canadian Union of Public Employees (CUPE) Local 3903 Extended Benefits Plan. Please email these unions directly to enroll.

Name Name * First Last
Student Number *
Must be 9 digits. Currently Entered: 0 digits.
If you are a visiting scholar/researcher or temporary international faculty, you can indicate the student number as 000000000.
YORKU Email Address *
Date of birth Date of birth * / MM / DD YYYY
Gender *

Gender Female Male Undisclosed Non-binary
Please select the option that applies to you. *

Please select the option that applies to you. Adding or renewing dependant coverage Applying for UHIP as a Visiting Scholar/temporary international faculty Applying for UHIP as an IVRT Applying for UHIP extension after graduation Applying for UHIP for my semester off (medical, non-medical, maternity or paternity leave of absence) Applying for UHIP as an MBA student who is taking Fall semester off instead of Summer. Applying for UHIP as a Canadian or diplomatic student

If you select the incorrect option, please refresh the page before selecting the correct option.

For example, if you want to renew your dependant but you selected "extending my UHIP after graduation" in error, please refresh the page and then select "Adding or renewing dependant coverage".
Has your dependant been added to your UHIP policy before?

NOTE: You can only add new dependants if they are here in Canada. Please do not submit the application if your dependant is not yet here.

Please note that each dependant's UHIP costs $63 a month in addition to your own UHIP charges.

Has your dependant been added to your UHIP policy before?

NOTE: You can only add new dependants if they are here in Canada. Please do not submit the application if your dependant is not yet here.

Please note that each dependant's UHIP costs $63 a month in addition to your own UHIP charges. Yes, I would like to renew my dependant(s)' UHIP coverage. No, I need to add new dependant(s) to my UHIP.

You must add your new dependant(s) within 30 days of their arrival in Canada. There is a $500 late fee if your application is submitted more than 30 days after their arrival.

You must renew your dependant(s)' coverage each year. Please ensure you apply to renew their coverage within thirty days of eligibility, or Cowan will charge a $500 late fee.
Name -- Dependant 1 Name -- Dependant 1 * First Last
Date of Birth - Dependant 1 Date of Birth - Dependant 1 * / MM / DD YYYY
Gender - Dependant 1 *

Gender - Dependant 1 Male Female Undisclosed Non-binary
Relationship - Dependant 1 *

Relationship - Dependant 1 Spouse Child
Date of arrival in Canada - Dependant 1 Date of arrival in Canada - Dependant 1 * / MM / DD YYYY
Name -- Dependant 2 (if applicable) Name -- Dependant 2 (if applicable) First Last
Date of Birth - Dependant 2 (if applicable) Date of Birth - Dependant 2 (if applicable) / MM / DD YYYY
Gender - Dependant 2 (if applicable)

Gender - Dependant 2 (if applicable) Male Female Undisclosed Non-binary
Relationship - Dependant 2 (if applicable)

Relationship - Dependant 2 (if applicable) Spouse Child
Date of arrival in Canada - Dependant 2 (if applicable) Date of arrival in Canada - Dependant 2 (if applicable) / MM / DD YYYY
Name -- Dependant 3 (if applicable) Name -- Dependant 3 (if applicable) First Last
Date of Birth - Dependant 3 (if applicable) Date of Birth - Dependant 3 (if applicable) / MM / DD YYYY
Gender - Dependant 3 (if applicable)

Gender - Dependant 3 (if applicable) Male Female Undisclosed Non-binary
Relationship - Dependant 3 (if applicable)

Relationship - Dependant 3 (if applicable) Spouse Child
Date of arrival in Canada - Dependant 3 (if applicable) Date of arrival in Canada - Dependant 3 (if applicable) / MM / DD YYYY
Name -- Dependant 4 (if applicable) Name -- Dependant 4 (if applicable) First Last
Date of Birth - Dependant 4 (if applicable) Date of Birth - Dependant 4 (if applicable) / MM / DD YYYY
Gender - Dependant 4 (if applicable)

Gender - Dependant 4 (if applicable) Male Female Undisclosed Non-binary
Relationship - Dependant 4 (if applicable)

Relationship - Dependant 4 (if applicable) Spouse Child
Date of arrival in Canada - Dependant 4 (if applicable) Date of arrival in Canada - Dependant 4 (if applicable) / MM / DD YYYY
Name -- Dependant 5 (if applicable) Name -- Dependant 5 (if applicable) First Last
Date of Birth - Dependant 5 (if applicable) Date of Birth - Dependant 5 (if applicable) / MM / DD YYYY
Gender - Dependant 5 (if applicable)

Gender - Dependant 5 (if applicable) Male Female Undisclosed Non-binary
Relationship - Dependant 5 (if applicable)

Relationship - Dependant 5 (if applicable) Spouse Child
Date of arrival in Canada - Dependant 5 (if applicable) Date of arrival in Canada - Dependant 5 (if applicable) / MM / DD YYYY
Adding new dependant(s):

Please upload the following document(s) (pdf, jpeg, and png files accepted):

Your dependant’s work/study/visitor permit. If they do not have a permit, then please upload a copy of their passport page with the date of entry stamp and the front page of the passport.

NOTE: You must submit this form to add new or renew dependants within 30 days of their arrival or eligibility for coverage. Otherwise, there is a $500 late fee. *

Attach Files
Applying for UHIP as a Visiting Scholar/temporary international faculty

NOTE: If you are a post-doc/visiting scholar/temporary faculty who is being compensated by York University, your UHIP will most likely be processed by Pensions & Benefits. Please contact askpb@yorku.ca. If you are not being compensated, please complete this form.

Please upload the following documents (pdf, jpeg, and png files accepted):

1) Completed and signed UHIP application form. You can find the form here: https://uhip.ca/wp-content/uploads/2022/08/UHIP-Application-Form-aGL5725E-E_0722.pdf

2) Copy of your invitation letter,

3) Copy of your work permit,

4)(If you have a dependant spouse or child(ren) with you in Canada) Your dependant’s work/study/visitor permit. If they do not have a permit, then please upload a copy of their passport page with the date of entry stamp and the front page of the passport.

NOTE: You must submit this form to add new dependants within 30 days of their arrival. Otherwise, there is a $500 late fee. *

Attach Files
Applying to UHIP as an IVRT:

Please upload the following documents (pdf, jpeg, and png files accepted)

1) Completed and signed UHIP application form. You can find the form here: https://uhip.ca/wp-content/uploads/2022/08/UHIP-Application-Form-aGL5725E-E_0722.pdf

2) Copy of your invitation letter,

3) Copy of your York offer letter (which includes your student number),

3) Copy of your work permit,

Optional - only to be sent if you have dependant(s) (spouse and/or children) here with you:

4)Your dependant’s work/study/visitor permit. If they do not have a permit, then please upload a copy of their passport page with the date of entry stamp and the front page of the passport.

NOTE: You must submit this form to add new dependants within 30 days of their arrival. Otherwise, there is a $500 late fee. *

Attach Files
What is your convocation month? *

What is your convocation month? June October February

If your convocation month is February, you are likely already enrolled under UHIP until August. In this case, you are not eligible to extend your UHIP coverage. You will need to look into private health plans.
Applying for UHIP extension after graduation:

Please upload the following documents (pdf, jpeg, and png files accepted) at most 45 days before your UHIP coverage expires:

1) Completed and signed UHIP application form. You can find the form here: https://uhip.ca/wp-content/uploads/2022/08/UHIP-Application-Form-aGL5725E-E_0722.pdf

2) A copy of the proof of your immigration status in Canada (as your UHIP coverage can only be extended up to your IRCC-approved stay in Canada). For example, a confirmation of your study or work permit, or a PGWP application submission confirmation letter from IRCC.

3) Confirmation email or letter from your department or faculty that you have completed your degree requirements and specifying the date or term of degree completion (ex. April 30, 2025 or Winter 2025). This is only needed if your record of graduation is not yet showing in the university records. *

Attach Files
What kind of leave of absence are you under? *

What kind of leave of absence are you under? Medical Non-medical Maternity/paternity
Which term are you taking off for your medical or non-medical leave of absence?

NOTE: you can only be enrolled in UHIP for up to 4 months. *

Which term are you taking off for your medical or non-medical leave of absence?

NOTE: you can only be enrolled in UHIP for up to 4 months. Summer 2025 Fall 2025 Winter 2026
Which term are you taking off your maternity/paternity leave of absence?

NOTE: you can only be enrolled in UHIP for up to 12 months. *

Which term are you taking off your maternity/paternity leave of absence?

NOTE: you can only be enrolled in UHIP for up to 12 months. Summer 2025 returning in Summer 2026 Fall 2025 and returning in Fall 2026 Winter 2026 and returning in Winter 2027
I confirm that I will return to studies in Summer 2026. *

I confirm that I will return to studies in Summer 2026. Confirm
I confirm that I will return to studies in Fall 2026. *

I confirm that I will return to studies in Fall 2026. Confirm
I confirm that I will return to studies in Winter 2027. *

I confirm that I will return to studies in Winter 2027. Confirm
Applying for UHIP coverage during an approved leave of absence:

a) Please upload a completed and signed UHIP application form (pdf, jpeg, and png files accepted).

You can find the application form here: https://uhip.ca/wp-content/uploads/2022/08/UHIP-Application-Form-aGL5725E-E_0722.pdf

b) UNDERGRAD students: Your leave of absence (LOA) must be approved by your faculty. Please upload a copy of your LOA approval letter.

b) GRAD students: Your LOA must be approved by the Faculty of Graduate Studies. Please upload a copy of your LOA approval letter. *

Attach Files