Please review and gather the required information for the Enrollment Process:
You will see a red star reminder (*) next to fields that need to be entered or have been entered incorrectly.
Your Social Security Number is encrypted; all information is confidential and stored in a secure location.
You will receive an email confirmation when you finish your application.
To add a dependent to your existing coverage please use this form
If you have any questions please contact Insurance Plans at (888)792-7496 or InsurancePlans@uua.org