Below, you’ll find all of our Member forms organized by type. The forms on this page are for administrative and claims purposes, and in most cases, will include requisite instructions and corresponding mailing addresses.
How to use and submit forms
Save the forms to your computer. In some cases, you can fill them in directly before printing. Otherwise, print them out and complete them by hand before mailing to the address indicated below.
All forms must be mailed to NEBS
NORTHERN EMPLOYEE BENEFITS SERVICES
5122 - 53 STREET