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THE NEW SCHOOL
STUDENT HEALTH INSURANCE PLAN
ADDRESS UPDATE REQUEST


In order to receive future communication from the insurance carrier and/or University Health Plans as well as access to online eligibility and claims lookup, please complete the following using your U.S. mailing address. If you do not have a U.S. mailing address your address will be defaulted to a New School address.

PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

An asterisk (*) denotes a required field.