
Get the free Health Plan (NUSHP)
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Mail or Fax completed forms to:
Northeastern University Student
Health Plan (NU SHP)
360 Huntington Avenue, 135 FR
Boston, MA 02115
Tel: 617.373.8007 Fax: 617.373.7340
Email:NUSHP@northeastern.edu
www.northeastern.edu/nushpUHCS
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How to fill out health plan nushp

How to fill out health plan nushp
01
To fill out Health Plan NUSHP, follow these steps:
02
Start by opening the Health Plan NUSHP form.
03
Fill in your personal information, including your name, address, and contact information.
04
Indicate your current health status and any pre-existing medical conditions.
05
Enter details about your current healthcare provider and any medications you are currently taking.
06
Specify the type of coverage you are seeking and your preferred payment plan.
07
Review the form for accuracy and completeness before submitting it.
08
Sign and date the form where indicated.
09
Send the completed form to the appropriate healthcare organization or insurance provider.
10
Keep a copy of the filled-out form for your records.
Who needs health plan nushp?
01
Health Plan NUSHP is typically required or beneficial for individuals who:
02
- Are seeking health insurance coverage for themselves or their dependents.
03
- Want access to a network of healthcare providers and facilities.
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- Need financial protection against high medical expenses.
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- Have specific healthcare needs or pre-existing conditions that require regular medical attention.
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- Are currently uninsured or have recently experienced a change in their health insurance coverage.
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What is health plan nushp?
Health plan nushp is the New York State Health Insurance Plan.
Who is required to file health plan nushp?
Employers with 50 or more full-time employees are required to file health plan nushp.
How to fill out health plan nushp?
Health plan nushp can be filled out online through the New York State Department of Health website.
What is the purpose of health plan nushp?
The purpose of health plan nushp is to ensure that employers are providing adequate health insurance coverage to their employees.
What information must be reported on health plan nushp?
Information such as the number of full-time employees, type of health insurance coverage offered, and premium costs must be reported on health plan nushp.
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