How to Apply

  1. Ask your employer if you are eligible to get health insurance through them.
  2. Apply for UPP BEFORE the date that your health insurance coverage begins.
  3. Follow these steps to apply:
  4. Apply for UPP. Apply online OR download and return the English application or Spanish application.
  5. Have your employer fill out and return the Employer’s Health Insurance Form. (included in the application)

– The Employer’s Health Insurance Form must be completed by your employer or your company’s Human Resources representative.
– This form must be completed for each employed household member.
– If you need extra forms, you may download the Employer’s Health Insurance Form.- Have your employer or Human Resources representative return the form as soon as possible.
Mail:
UPP, PO Box 143245, SLC, UT 84114-3245
Fax:1-877-313-4717 (Toll-Free)

Follow these steps if you have COBRA coverage or are eligible for COBRA:

  1. Find out if you are eligible to get COBRA health insurance. If you are already enrolled in COBRA, go to step 2.
  2. Apply for UPP. Apply online OR download and return the UPP Application
  3. Have your previous employer or your COBRA insurance company fill out and return the COBRA Health Insurance Information form as soon as possible: Mail: UPP, PO Box 143245, SLC, UT 84114-3245
    Fax: 1-877-313-4717
  4. After 2 -3 business days, you may call DWS at 1-866-435-7414 to complete your interview and/or to find out what verifications are needed to determine your eligibility. You may also go to MyCase for more information and to view the status of your case.