Upay 850 2005 form-2025

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248 votes

The document outlines the procedures for University of California employees to enroll in, change, cancel, or opt out of health and welfare insurance plans for themselves and their eligible family members. It includes instructions on completing the necessary forms, eligibility requirements, participation terms, and conditions regarding coverage changes. Additionally, it details the implications of opting out of coverage, beneficiary designations, privacy notifications related to personal information, and continuation privileges under COBRA.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (181 Votes)
2017	4.4 Satisfied (128 Votes)
2005	4.4 Satisfied (248 Votes)

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