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Paper Craft

Thank you for submitting your Supplemental Life/AD&D Form

If you elected coverage above the Guarantee Issue amount for you and/or your spouse, please click the following buttons to complete and submit UHC's Evidence of Insurability (EOI) form(s).


You will need to supply the

Policy # and the Group # when you fill out the EOI.

Enter 370282 in both instances.

A new window will open.

If you have any questions, please contact your Benefits Coordinator, Amanda Garcia
at (210) 283-5571.
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