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  uprehs forms and publications
Some forms and publications are only available to existing UPREHS plan members. Please visit the member login link at the top of the website, or Click Here to visit the login page. Once you have logged in please visit the forms and publications link in that section of our website.

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Authorizations & Release Forms
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Benefits Guides & Summaries
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Surviving Spouse Benefit Check List
Company Brochures & Newsletters
UPREHS Company Brochure
2007 UPREHS Newsletter
Preventing Fraud
Medicare Drug Coverage
Comparison of Outpatient Prescription Drug Coverage
HIPAA
HIPAA Privacy Notice

Health Information & Tips
Traveling with Insulin
Pharmacy
2009 Preferred Drug Formulary
2008 Preferred Drug Formulary
2007 Non-Preferred Drug Formulary

Provider Nomination
Provider Nomination Form

Policies
Privacy Policies
Legal Disclaimers
Plan Coverage, Rules & Regulations
Challenger Plan
60/30 + Plan Summary
60/30 + Plan Rules & Regulations
ERMMB Plan
Medicare HCPP/Supplemental Plan
Prime Medicare Prescription Drug Plan
Pensioner Under 65
Pensioner Under 65 Supplemental Plan
CHC / MMCP Cover Letter 09/07
CHC / MMCP Family Supplemental Plan
Secondary Coverage for Dependents
Open Enrollment Information
Family Supplemental Brochure
Family Sup. Enrollment Application
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union pacific railroad employee health care systems