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Paper Craft

ENROLL or WAIVE Coverage

NOTE:  If you are an HOURLY EMPLOYEE and wish to enroll in a medical plan,

you may only elect the UHC Base $6,750 Plan or the EBA MEC Plan.  

Enter Enrollment Information on our Secure Site
*Required fields



Medical Plan Options

(choose only one)

Your Medical Plan Status

** Hourly employees may only elect UHC Base 6750 or EBA MEC Plan.

Ancillary Plan Options
Dental - Add Dependent Status
Vision - Add Dependent Status

Add Dependent Information

If you wish to cover additional dependents, please contact Amanda Garcia at (210) 283-5571.

Who are you employed by?
What type of employee are you?

Thanks for submitting!

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