Forms

The following are all the forms necessary to enroll in Confident’s Dental, Life, Disability & Vision plans:

Affadavit of Domestic Partnership

Dental and Vision Change Form

Dental Claim Form

Dental Employee Enrollment Form

Dental Group Enrollment Application

Dentist Nomination Form

CONFIDENT Employee Change Request Form

CONFIDENT Employee Enrollment Form

Student Verification Form

UHC Agent Appointment Packet

Vision Employee Enrollment Form

Vision Group Enrollment Application

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