UHIP Refund Request Form

The University Health Insurance Plan (UHIP) is a mandatory basic medical insurance plan for international students (akin to OHIP for domestic students). International students can only submit this form to request a refund if they demonstrate that they have alternate basic medical insurance comparable to UHIP. Application deadlines apply, as follows:

- Absence from Canada: March 1, 2025
- Diplomats: March 1, 2025
- Fall-only enrollment: March 1, 2025
- Foreign government-sponsored scholars: October 15, 2024 (fall students) or February 14, 2025 (winter-only students)
- Canadian/provincial government-insured students (ex. IFHP, OHIP, RAMQ, etc.): March 1, 2025 (if first insured on March 1, 2025 or earlier) or within the same month of enrollment if first insured on March 2, 2025 or later (ex. eligible for RAMQ as of March 2, 2025--the UHIP refund deadline is March 31, 2025; eligible for OHIP starting March 31, 2025--the UHIP refund deadline is March 31, 2025)

By completing this form, you are requesting to be refunded the cost of UHIP (appearing in your student financial account with a "UHIP" notation) for the period during which you will be insured by an eligible alternate provider during the current policy year starting on September 1st and ending August 31st. Refund applications for previous academic years will not be accepted.

DISCLAIMER: Domestic and international students cannot submit this form to opt out of extended health and dental insurance plans managed by the York Federation of Students, the York University Graduate Students' Association or the Canadian Union of Public Employees, Local 3903. (These fees are either billed separately to its members or appear in your student financial account with a YFS or GSA notation.) To opt out of these plans due to alternate extended health coverage, students must contact their union directly.

Name Name * First Last
Student Number *
Must be 9 digits. Currently Entered: 0 digits.
Email *
What is the reason for your UHIP refund request?
Please note, you cannot submit a request for a regularly scheduled break, such as the Summer semester or Winter Holiday Closure, even if you choose to be outside of Canada. *

What is the reason for your UHIP refund request?
Please note, you cannot submit a request for a regularly scheduled break, such as the Summer semester or Winter Holiday Closure, even if you choose to be outside of Canada. Ontario Health Insurance Plan (OHIP) coverage Canadian or provincial/territorial basic medical insurance plan coverage (ex. IFHP, RAMQ, Medicare) Foreign government-funded health insurance plan (this option is only open to diplomats and fully-funded foreign scholars and is subject to an in-depth review and approval process) Not in Canada (please email uhip@yorku.ca to provide the duration and reason for your absence) Enrolled in UHIP for full year but only taking Fall courses - not taking Winter courses

The timeline to request a refund for Fall 2024 only classes is January 1st, 2025 to March 1st, 2025.

If you become eligible for OHIP after March 1st, 2025 you are able to submit a refund request.
Alternate basic medical insurance card validity start date Alternate basic medical insurance card validity start date * / MM / DD YYYY
Alternate basic medical insurance card validity end date Alternate basic medical insurance card validity end date * / MM / DD YYYY
Mandatory documentation (in .pdf, .jpeg, .jpg or .png formats only) to support your UHIP refund request and that of your dependants (if applicable):

1) your health insurance card (ex. IHFP, Medicare, OHIP, RAMQ, diplomatic/sponsored student insurance card, etc.)

2) diplomats and fully-funded scholars: your full insurance policy *

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