Forms Directory
See below for a general list of forms that can be downloaded or printed. Please use the filter buttons to help search for a specific form by category. Some forms may only be found behind your secure participant login.
-
UEBT Active Premier Enrollment Form
-
UEBT Active Ultra Enrollment Form
-
UEBT Active Annual Verification Form
-
UEBT Retiree Enrollment Form
-
Kaiser Medicare Election Enrollment Form
-
UEBT Active Other Insurance Information (OII) Form
-
UEBT Retiree Other Insurance Information (OII) Form
-
Adopted or Step Child Verification Form
-
Appointment of Personal Representative Form
-
Benefits Registration Form
-
Kaiser Medicare/Senior Advantage Disenrollment Form
-
UCBT Active Premier Enrollment Forms Packet