Forms & Publications

Forms

• Claim Form
• Nominate Your Dentist
• Request and Authorization for Disclosure of Health Information
• Dependent Certification Form

Publications

• 2019 United Concordia FEDVIP Brochure
• 2019 United Concordia FEDVIP Dental Plan Summary
• 2018 United Concordia FEDVIP Brochure
• 2018 United Concordia FEDVIP Dental Plan Summary

For more information about the United Concordia federal dental insurance plan, please email us or call 1-877-FYI-UCCI (1-877-394-8224) Monday - Friday, 8 a.m. to 8 p.m., ET.