Life Insurance

For general information about Life insurance, see the Life Insurance Booklet.

 


Life insurance contact information: 

Prudential Life
Eastern Life Claim Division
P.O. Box 1215
Newark, NJ 07101-1215
Customer Service: (800) 524-0542
Group #: UC Paid: G-97000, Employee Paid: GO-97000

 


The Statement of Health process:

To apply for Supplemental Life and/or Dependent Life insurance through the Statement of Health process, submit form UPAY 850 to your Employee Benefits office. We will prepare a Statement of Health application for your completion and submission to Prudential for evaluation.


http://ucnet.universityofcalifornia.edu/forms/pdf/upay-850.pdf

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