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Health Insurance

Optional Life Changes

Enrollment in Voya Financial (formerly ING/ReliaStar) discontinued on July 1, 2011. If you enrolled prior to July 1, 2011, you may request changes. To retrieve the change forms you need Adobe Acrobat. Send completed forms to your UPB Benefits Services office.

Request for Change of Beneficiary Form
Request for Change - complete this form for policy changes (name / address change),coverage reduction (for self, spouse, or child),and coverage cancellations (for self, spouse, or child)


Maintained by University Human Resources | Contact Information | Last Update: 19-November-2014 | ID: 7