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  • Health Insurance Request Form - Northeastern Illinois University - Neiu

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Northeastern Illinois University 5500 NORTH ST. LOUIS AVENUE CHICAGO, ILLINOIS 60625-4699 HEALTH INSURANCE REQUEST FORM Date: Name: Last First S.S.# M.I. I would like to request the student health.

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NUSHP Membership Cards Students are mailed their Northeastern University Student Health Plan (NUSHP) cards within the first month of the term. In order to ensure that your health insurance card reaches you, please have your most up-to-date address information on record.

UC SHIP is a student-focused benefits package for UCSD graduate and undergraduate students, including strong medical, behavioral health, pharmacy, dental, and vision care benefits.

UC SHIP is a self-funded, comprehensive health insurance program for registered UCI undergraduate and graduate students that is underwritten and administered by the Regents of the University of California. The plan includes medical, behavioral health, pharmacy, dental and vision benefits.

In order to opt out of the student insurance you must fill out the “waiver form” found on the Student Health Insurance website prior to the end of the enrollment change period at the start of the semester.

How do you Waive NUSHP? Log onto me.Northeastern.edu. Click “Resources” at the top of the page. Go to “Health & Wellness” Click “Health Plan Fee Waiver (NUSHP)” This will bring you to the Gallagher website, please log in with your NU credentials. Scroll down to “Plan Summary” and click on the yellow “Waive” button.

UC SHIP coverage is secondary to all other private insurance, with the exception of Medi-Cal, Medicare, and Tricare.

UCSHIP is a systemwide plan providing enhanced health benefits to all enrolled students. All registered students are automatically enrolled in UCSHIP, but if you have comparable insurance and you do not want to keep UCSHIP as dual coverage, you must submit a request to waive enrollment by the specified deadline.

UC SHIP is an affordable health insurance plan tailored to the health care needs of UCSB students. The medical plan features year-round, worldwide coverage using the Anthem Blue Cross network, and includes prepaid access to care at the UCSB Student Health Center for illness or injury.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232