Change data as
desired and press "Update Coverages" to process
Updating coverages for Individual
| Number | Name | SSN | Relation | Birth Date | Gender | College? |
|---|---|---|---|---|---|---|
| 1 | Eugene Adams | 111111111 | Self | 10/19/1944 | Male | No |
Please choose desired coverage.
Note: If you choose
"No" as a coverage option,
all other input data for that benefit is ignored.
Dates are in the format MM/DD/YYYY
[Change Your Name]
[Update Your Address]
[Update Your Marital Status]
[Update Your Emergency Contacts]
[Change Your Beneficiaries and Dependents]
[Change Your Health Plans]
[Update Directory Information]
[Exit the WWW Information System]