Request New Member ID Card - UBA (updated 09.07.17)

Reorder Member ID Card and/or Member Guide

United Business Association Gap Plans

Member Name *

First Name Last Name

E-mail *

Last 4 digits of social *

Mailing Address

Which ID Card Do You Need Resent?

UBA Membership & Gap Plan ID Card RX Discount Card & Pet RX Discount Card Gap RX ID Card Dental ID Card Vision ID Card

Which Membership Guide Do You Need Resent?

UBA Membership Brochure / Guide Your Gap Plan Brochure / Guide Short Term Medical Plan Brochure / Guide

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QUESTIONS? CALL YOUR PERSONAL MEMBER CONCIERGE AT:

866.438.4274