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Request Plan Materials

You can order various Plan materials, such as ID cards, member handbooks and brochures, from our website. Just fill out the form below and be sure to indicate which item(s) you would like. If you want to request more than one item, just click the "Back" button after making each request.

Plan Materials You Can View and Print Online


You also have online access to the following items:

Your ID #:
Your Name: (required)
Street Address: (required)
City, State, Zip: (required)
Daytime Phone #: - -
Your Date of Birth (mm/dd/yy): / /
Your Email Address: (required)
Select Item You Are Requesting:

 

Please type the following security code in the box below. Using this code makes this transaction even more secure.

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For self-funded plans, claims are administered by UniCare Life & Health Insurance Company. © 2018 UniCare