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Ask general questions, request an identification card, or contact us for a quote for your company.
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General Question
Member ID Card Request
Member Third Party Liability Information:
If you received a request from UMR for Third Party Liability Information please complete the form below. By completing this form a determination can be made as to whether CEBT or some other entity is the primary payor responsible for claims that have been submitted.
Member’s Dependent(s) Other Insurance Information:
If you received a request from UMR requesting Dependent(s) Other Insurance Information please complete the form below. By submitting this information a determination can be made as to which coverage is primary for your dependents if they have multiple coverages.
Employer Supply Request
Please complete the form below and we will get the requested supplies to you as soon as possible. Thank you.