Voluntary Dental Plan
Insurer: United Concordia
Website: http://www.ucci.com
Plan Summary: UCCI Preferred Plan (PDF format)
Find a Dentist: Provider link - " Advantage Plus"
Member Customer Services: 1-800-332-0366
Forms
- UCCI Enrollment Form (PDF format) *
- UCCI Enrollment Form (Spanish - PDF format) *
- UCCI
Dependent Certification Form (PDF format)
*
* Return completed form to Human Resources for processing - Claim
Form (PDF format) Submit
completed claim forms to:
Dental Claims
P O Box 69421
Harrisburg, PA 17106-9421