SCT WWW Information System
Covered Individuals - Update Coverages


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

Benefit Coverage
Option
Begin Date End Date Other
Coverage
Toofy Dental YesNo
BC/BS Family YesNo
Life Insurance YesNo
  

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[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]