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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PACT Request for Transfer of Eligibility Form
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Personal Information Change Form - Health and Welfare
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Prudential - Notice of Conversion Privilege Form
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Request to Reinstate or Terminate Eligibility for Benefits
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UCBT Active Annual Verification Enrollment Packet
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UCBT Active Other Insurance Information (OII) Form
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UCBT Active Premier Enrollment Packet
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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 Extended Death Benefit Filing Requirements
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UCBT Extended Medical Benefits (Active)