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The Prudential Insurance Company of America fax number
(888) 772-5265
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Group Insurance / Unified Benefit Trust (UBT) administration
Used for: Submitting group life insurance enrollment, beneficiary designation, and other employee-benefits forms (UBT enrollment, etc.) by fax to Prudential’s benefit partner at 888-772-5265.
Fax destination details
- Department
- Group Insurance / Unified Benefit Trust (UBT) administration
- Purpose
- Submitting group life insurance enrollment, beneficiary designation, and other employee-benefits forms (UBT enrollment, etc.) by fax to Prudential’s benefit partner at 888-772-5265.
- Form
- Group Life beneficiary form; UBT Enrollment Form — Group Life beneficiary form
- Address
- 751 Broad Street, Newark, NJ 07102
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fax the completed form to 888-772-5265; follow the specific form instructions included in the enrollment/beneficiary documents.
Official form instructions are published as a downloadable file on the organization's website.
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