UCAR Finance & Administration

Forms Library


Form Details...

Form Title: Cigna Prescription Claim Form
Last Updated: 6/2013
Purpose: Used to report Prescription Expenses
Who Should Use the Form: Employees with the Cigna HDHP insurance plan
Instructions: Employee completes the form, which is an online PDF form, prints it, signs and submits it to CIGNA Healthcare
The Form: Form in .pdf format (You will need Acrobat Reader to access this form)


If you are having trouble downloading forms see HELP below.


Search Help F&A Home

Questions or Comments? Contact the F&A Webmaster at:
webmaster@fanda.ucar.edu


Thank you!


Return to HR Table of Contents

Return to HR Home Page