Life Insurance
| For general information about Life insurance, see the Your Group Insurance Plans brochure. | 
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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.
How To:
To enroll, complete and submit form UPAY 850 to Employee Benefits.
To name or change your beneficiary designation.
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