Download Your Health Insurance Enrollment Verification Form

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To: Knoxville-area UT Faculty and Staff
From: Monique Anderson
Subject: Insurance Enrollment Verification Form

UT faculty and staff who need enrollment verification for their dependents as part of the Secova audit of Tennessee state employee group health insurance plans can access the letter request form on the University Registrar’s Web site by visiting http://registrar.tennessee.edu/forms/Student%20Let%20Req%20Form%20Inter%201-16-08.pdf.

The Office of the University Registrar will assist with this dependent student verification. For more information call 974-2101.

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The University of Tennessee • Knoxville, TN 37996 • (865) 974-2225