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Apply English
English
CCPU Health Care Fund Application Form (English)
PDF • Application Form
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CCPU Dependent Coverage From 2025 English
English
CCPU Dependent Application 2025 English
PDF • Application Form
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Spanish
CCPU Dependent Benefit 2025 Spanish
PDF • Application Form
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Am I eligible for CCPU Heathcare Reimbursement Fund benefits?

Answer these simple questions to determine your potential program eligibility.

To complete your application online, you’ll need proof of coverage for your health plan (a document showing your name as the policyholder, the name of your insurance plan, the coverage period, and the amount you pay for coverage).

If you don’t have an account for the CCPU Health Care Fund portal, you can sign up now with your email address and mobile phone number.

Questions? Call (833) 714-6028 or email support@ccpuhealth.org.