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MetLife’s phone lines are currently down for all customers with no estimated time of resolution. We apologize for the inconvenience. CCPU customer service is unable to answer questions about dental/vision benefits or services. Please check back for updates.

Forms

Find the forms you need here.

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Spanish
CCPU Dependent Benefit 2025 Spanish
PDF • Application Form
Read
Spanish
Beneficiary Designation/Change Form (Spanish)
PDF • Beneficiary Form
Read
Apply Spanish
Spanish
CCPU Health Care Fund Application Form (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.