Health Care Facilitator
The Health Care Facilitator (HCF) is here to help staff, retirees, survivors, and their eligible family members to better understand and obtain the full benefits and services available from the UC-sponsored health plans. She is located in the Benefits Office.
For more information, see the Health Care Facilitator Program brochurePDF.
Forms
- UPAY 850 Form – Enrollment, Change, Cancellation, or Opt-Out for Employees Only
- UBEN 109PDF — Notice to UC of a COBRA Qualifying Event
- UBEN 116PDF — Designation of Beneficiary — Employees
Links
- Employee Assistance Program (EAP)
- Medicare
- Social Security Administration
- UC Living Well
- UC-Sponsored Benefits AtYourService
- UC-Systemwide Health Care Facilitators
- Your Group Insurance Plans Booklet
Retiree Forms
- Medicare Factsheet
- UBEN 100 (for retirees only)
- UBEN 127PDF — Medicare Advantage Universal Enrollment/Election Form for Kaiser Senior Advantage
- UBEN 125PDF — Medicare Advantage Universal Enrollment/Election Form for Health Net/Seniority Plus
- UBEN 123PDF — Medicare Prescription Drug Plan Enrollment Form for UC Medicare PPO or UC High Option Supplement to Medicare
- UBEN 101PDF — Medicare Advantage Prescription Drug Plan Disenrollment Form