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UPS Retiree Health Forms

Academic Certification - Form to be submitted for Academic Certification.

RETIREE HEALTH FUND - Coordination of Spouse Benefits Form (NOT to be used for for Active Health Care Coverage) - Form to be submitted for verification of spouse's benefits.

Enrollment Form - Form for enrolling for benefits.

HIPAA Privacy Notice - Notice regarding the Health Insurance Portability and Accountability Act 0f 1996.


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