Contact Us

Ask general questions, request an identification card, or contact us for a quote for your company. Select an appropriate online form below and submit it to us, or feel free to reach out to CEBT Customer Service at 800-332-1168. For questions unrelated to claims or benefits, you may contact the Associate Director of CEBT Operations and Communications Stacy Picone at stacy.picone@wtwco.com.

All information provided here is secured by state-of-the-art encryption.

Office Hours

Monday - Thursday: 7:30am to 4:30pm MST
Friday: 7:30am to 4:00pm MST

*Please note: The live chat feature is only available during office hours

Request a Quote

General Question

Member ID Card Request

Before proceeding to order an ID card, please consider the following:

You can view ID card information through the CEBT APP, or at www.umr.com
ID cards are not auto-generated at open enrollment unless one of the following applies: You make a plan change, add/remove dependents, or if any of the demographic information on the ID card has changed. If none of these apply, you should not expect a new ID card.
If you expect an ID card, please consider a 12-14 day turnaround from when it is issued. You can view the issue date by logging into the UMR portal > ID cards
If you have dependents aged 16+, additional UMR ID cards will automatically be sent for these individuals.

If none of the above applies, please choose the option below.

Full Name: First, Last: (Required)
Employer: (Required)
Inquiry Type: (Required)
Member ID: (Required)
Phone:
Email: (Required)
Question:

Dependent Insurance Verification - No Other Insurance

Dependent Insurance Verification - Has Other Insurance

Contact Name (Required)
Email (Required)
Phone
Subject (Required)
Description
Full Name Dependents Covered (Required)
Medical
Dental
Vision
Name of Other Insurance(Required)
Insurance Company Phone
Other Plan Eff Date (Required)
Policyholder's Name
Policyholder's Date of Birth (Required)
Relationship To Policyholder (Required)
Is There a Court Order (Required)
Employee Actively At Work
Is Other Coverage Provided by Medicare
Part A Eff Date
Part B Eff Date
Electronic Signature

Member Third Party Liability Information

Member Name: First, Last (Required)
Email (Required)
Member ID (Required)
Patient Name (Required)
Services Provided By (Required)
Date of Service:
Total Charge Amount:
Was Claim Due to Injury? (Required)

Yes

No
Injury/Illness Description:
First Date of Treatment: (Required)
Date of Injury: (Required)
How Did The Injury Happen: (Required)
Place of Injury: (Required)
Was Injury at Work: (Required)
Do You Expect Further Treatment: (Required)
Is This Causing Aggravation at Work: (Required)
Has Employer Been Notified: (Required)
Is Injury From Motor Vehicle Accident: (Required)
Was Vehicle Covered By Insurance: (Required)
Other Party Name:
Other Party Address:
Other Party Phone:
Claim Number:
Policy Number:
Was Accident Reported to Law Enforcement:
Name of Agency:
Agency Address:
Has Attorney Been Retained:
Home Phone:
Work Phone:
Electronic Signature: (Required) (Required)

Employer Supply Request

Group Name: (Required)

Branch Number: (Required)

Caller Name: (Required)

Email: (Required)

Enrollment/Change Cards Qty:

Enrollment Packets Qty:

Medical Claim Forms Qty:

Dental Claim Forms Qty:

Vision Claim Forms Qty:

COBRA Forms Qty:

Rx Mail Order Forms Qty:

PPO Directories Qty:

SDA LDT/SDT Claim Forms Qty:

SDA LDT/SDT Certs Qty:

Standard Voluntary Life Booklets:

Other: