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. Click the blue "Showing __ Results" text at the top of the directory to see more forms.
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UCBT Active Standard Clerk's Helper Enrollment Packet
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UCBT Active Standard Enrollment Packet
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UCBT Active Ultra Enrollment Packet
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UCBT Active Annual Verification Enrollment Packet
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Blue Shield/PPO International Claim Form
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Blue Shield Claim Form - Provider Who Does Not Bill
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Dismemberment and Loss of Sight Form
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Uprise Health (HMC) Claim Submission Form
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UCBT Life and Accidental Death Claim Application
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Medical Benefits (Shingles Vaccination, Hearing Aid, CBD Oil, COVID OTC) Reimbursement Form
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Personal Information Change Form - Health and Welfare
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Death Beneficiary Designation Change Form