• Highlighted Benefits
• General Information
• Effective Dates and Costs
• Waiver Deadlines
• Enrolling in NUSHP after Waiving
• Open Enrollment
• Forms
• Contact Us

Forms

The following files are in PDF format. A free PDF reader, Adobe Acrobat, is available for download.

• BCBS Claim Form
• BCBS International Claim Form
• Petition to Enroll in NUSHP Form
• NUSHP Late Waiver Request Form
• NUSHP MidYear Enrollment Form
• NUSHP Waiver form(study abroad and co-op students)
• UHCS Access Request Form
• Mid Year Adjustment Form

Contact Information

Email: NUSHP@neu.edu
Address:
Student Health Plan Manager
Northeastern University
135 Forsyth Building
360 Huntington Avenue
Boston, MA 02115
Phone: 617-373-8007
Fax: 617-373-7340