Information for Filing Claims
Click Here
Claim Forms
Download and Print
Health Insurance
Prescription Drug Claim Form (Plan 2 Only)
Medco Claim Form (Plan 1 Only)
Medco Mail Order Form (Plan 1 Only)
Personal Representative Appointment Form
Click Here
Click Here
Click Here
Click Here
Click Here
E-mail Address (
to Health Insurance Claim Department)
claims@uhcsr.com
If you can't open the PDF you will need
Home Page
/
Important Information
/
How to Apply
/
Medical Plan 1
/
Medical Plan 2
Vision Option
/
Dental Option
/
Monthly Premiums
/
Online Enrollment Form
/
Enrollment Form
Administrative Forms
/
Brochures
/
Claim Information and Forms
/
Insurance Policies
PPO Networks
/
Privacy Policy
©2008 SOMA College Health Insurance Plan. All Rights Reserved.
Designed & Hosted by
StarHost
Revised and Updated by MMIC, Inc