Contact_Us - UH Retiree Benefits Task Force

Reach out to the Task Force with your information and feedback. This is a must in order to allow follow up with you on benefits and to foster the retiree group future communication. Indicate if you support the UH Benefits Task Force effort (Yes or No) and if you are receiving retirement benefits or eligible in the future (Yes or No). We desire your age so we can categorize pre and post Medicare retirees. If you do not have an email address, leave it blank. Include any other comments you wish in the "Message/Comment" field.

Your Name *

First

Last

Address (Be sure to include your zip code) *

Confirm Email

Telephone Number With Area Code *

Years of Service *

Age *

Currently receiving Medical Benefits from UH (Yes or No) *

Eligible for Benefits in the Future (if not currently receiving) (Yes or No)

Support the Task Force Benefits Efforts (Yes or No) *

Message / Comments