The opt out will not reflect on your student account. You still need to pay the charge to student account and then if approved, the opt-out are reimbursed by the student union via e-transfer - (usually around November).

The opt out is administered entirely by the student union.
 

Here are some links This is not something that is managed by UTS but here are some links that you might find useful: 

• GSA Health & Dental​ Insurance Plan: Health and Dental – Graduate Students Association of McMaster University

• McMaster Student Union Opt-Out: Opt-Out - MSU (msumcmaster.ca)"

• https://registrar.mcmaster.ca/fees/third-party-sponsorships/