Forms Directory
See below for a general list of forms that can be downloaded or printed. Please use the search bar or filter buttons to find a specific form. (Some forms may only be found behind your secure participant login.)
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UCBT Extended Medical Benefits (Active)
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UCBT Life and Accidental Death Claim Application
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UCBT Request for Transfer of Eligibility Credits
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UCBT Retiree Enrollment Packet
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UCBT Retiree Other Insurance Information (OII) Form
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UEBT Active Annual Verification Enrollment Packet
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UEBT Active Extended Medical Benefits
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UEBT Active Other Insurance Information (OII) Form
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UEBT Active Premier Enrollment Packet
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UEBT Active Ultra Enrollment Packet
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UEBT Elixir Market Price Drug Exception Request
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UEBT Extended Death Benefit Filing Requirements