This form is used to enroll in the Northwestern University Student Dental and Vision plans. Please be sure to complete all of the required information, fields marked with an * are required and must be completed to move on. If you are enrolling your spouse or dependents in the plan, you must enter all the required information for them as well. You can reach toll free live support between 9am and 6pm at (877) 247-8817.
- Please click "Create Login" and follow the instructions to create an account.
- Enter your Northwestern email address and password created during registration to login.