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Gap HCI Plan - Group Insurance Certificates

Gap HCI Plan

Select here to APply Now for UBA Membership & Gap HCI Plan
Selet here to go back to Gap HCI Plan
Select here to view Gap HCI Plan Sample Member Guide for details on the plan

Group Insurance Certificates

Select Plan 1 or Plan 2 (based on available states) below to view Group Insurance Certificates for the Gap HCI Plan.

If you purchased a Gap HCI Plan PRIOR to 04.05.18, click here to request Group Insurance Certificates specific to your plan.
The Group Insurance Certificates below are specific to the Gap HCI Plan purchased on or after 04.05.18.

Plan 1 - Group Insurance Certificates - Gap HCI Plan

AL, AZ, AR, DE, DC, FL, GA, IL, IN, IA, KY, MI, MS, NC, NE, ND, NM, OH, OK, PA, RI, SC, TN, TX, VA, WI & WY

Plan 1 - Individual - Gap HCI Group Insurance Certificates

INDIVIDUAL

Plan 1 - Individual+Spouse - Gap HCI Group Insurance Certificates

INDIVIDUAL+SPOUSE

Plan 2 Group Insurance Certificates - Gap HCI Plan

CA & NV

Plan 2 - Individual - Gap HCI Group Insurance Certificates

INDIVIDUAL

Plan 2 - Individual+Spouse - Gap HCI Group Insurance Certificates

INDIVIDUAL+SPOUSE