Get Application Form - Uwec

This guide provides step-by-step instructions to assist you in completing the Application Form - Uwec online. Following these steps will help ensure that you provide all necessary information accurately and efficiently.

Follow the steps to successfully complete your application form.

1. Click ‘Get Form’ button to access the Application Form - Uwec and open it in your preferred online editor.
2. Begin by checking the appropriate enrollment type at the top of the form, such as 'New Hire,' 'Open Enrollment,' or 'Change.'
3. Select your desired dental plan by marking the suitable option from the provided choices: 'DentalBlue,' 'Compcare Health Services Insurance,' or 'Supplemental Plan.'
4. Fill out your personal details in the designated sections, including your last name, first name, middle initial, street address, social security number, and birthdate.
5. Indicate your marital status by selecting the appropriate option and enter your telephone number along with your dental center choice.
6. If applying for family coverage, complete the section listing all individuals to be covered, including their last names, first names, initials, sex, and dates of birth.
7. If you are making changes to your current coverage, provide the necessary details, including the name under which your current contract is listed and your subscriber number.
8. Answer whether anyone listed in the application is covered by another dental insurance program by marking 'Yes' or 'No' and provide any additional required information.
9. Read and certify the accuracy of your provided information by signing and dating the application.
10. Once you have filled out the form completely, you can save changes, download, print, or share the completed Application Form - Uwec.

Complete your application form online today to ensure timely processing of your enrollment.