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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