Northwood University Documents and Forms

Prescription Mail order Form

Order form for prescriptions form Optum

Healthy Pregnancy Brochure

Learn more about ConnectCare's Healthy Pregnancy Program

Case Management Brochure

Learn more about ConnectCare's Case Mangement Program

2024 Dental Summary Plan Description

Summary plan document highlighting dental coverage and exclusions

2025 Summary Plan Description (SPD)

Summary plan document highlighting coverage and exclusions for members enrolled in the PPO Plan