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GEO Forms & Documents

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  • 2021-22 Benefit Information for Fellowship Recipients

 

Click here for a information on fellowships.

 

  • Ameritas Subscriber Certificate

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  • Ameritas Claim Form

 

Click here for the form to use when you see an out-of-network provider and need to seek reimbursement. The form should be submitted to Ameritas with your receipt(s).

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  • Ameritas Coordination of Benefits Policy

 

Click here for the document that governs your multiple insurance plans.

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  • EyeMed Subscriber Certificate

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Click here for the certificate of insurance.

 

  • EyeMed Claim Form

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You can submit a request for out-of-network reimbursement online​. â€‹

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  • UMass Assistantship Guidelines

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Click here for a detailed review of the earnings required for student health insurance fee waivers, trust fund benefits and tuition waivers.

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Phone: 413.345.2156

Fax: 866.795.2684

Email: uawdental@external.umass.edu

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Address:

UAW/UMass Health & Welfare Trust Fund

6 University Drive

Suit 206-229

Amherst, MA 01002

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copyright 2022 UAW/UMass HWTF

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