2025 Benefits
2025 Benefits Brochure
2025 OE Flyer with changes
Domestic Partner Declaration
Medical Provider Search (Pre-Member)
Merchants SmartID Theft
Quit for Life
|
Summary of Benefits & Coverage
2025 HMO SBC
2025 PPO HDHP SBC
2025 PPO SBC
|
Supplemental Benefits
Accident - $50 Wellness
Accident Benefit Summary Bi-Weekly
Accident Benefit Summary Semi-Monthly
Beneficiary Designation for Life Insurance
Benefit Assist Flier
Critical Illness- $50 Wellness
Critical Illness Benefit Summary Bi-Weekly
Critical Illness Benefit Summary Semi-Monthly
EOI ALL States other than NJ and NY
EOI NJ
EOI NY
Hospital Indemnity Benefit Summary Bi-Weekly
Hospital Indemnity Benefit Summary Semi-Monthly
Life- Value Added Services
LTD Employer Paid Summary
Class 3- Bi-Weekly Life Benefit Summary
Class 3- Semi-Monthly Life Benefit Summary
STD Buy-up Summary Bi-Weekly
STD Employer Paid Summary
UHC STD Buy-up Summary Semi Monthly
|
High Deductible Health Plan Overview
How Does an HDHP Work? |
Health Savings Account (HSA)
Optum HSA User Guide
2025 HSA Election Form
|
Flexible Savings Account (FSA)
How to File an FSA Claim
How to file an FSA on the Mobile App
Eligible & Ineligible FSA Expenses
Health FSA with Dependent Care
FAQ for Terminated FSA Participants
FSA Plan year Balance and Run Out Period
FSA Summary Plan Description iSolved
FSA Reimbursement Form |
How to Select the Medical Plan
that's Right For You
Life Stage Medical Plan Considerations
|
Dental & Vision Benefits
Dental ENDP Benefit Summary
Dental ENDP Welcome Guide
Dental PPO Benefit Summary
Dental ID Cards
Vision Benefit Summary
Vision ID Cards
How to look up a UHC Dental and Vision provider
|
Employee Assistance Program
EAP- Member Assistance Program
|
Compliance
2025 Compliance Packet
|
Pharmacy (Rx)
Vital Medication Program List
HDHP-HSA Core Plus Preventive List
Pharmacy Essential Drug List 4 Tier
Pharmacy Home Delivery ORDER FORM
Pharmacy Home Delivery Overview
Pharmacy Search Online Essential 4 Tier
Vital Medication Program Member Flyer
|
UHC Program Flyers
Activate Your myuhc.com Account
Disabled Dependent Child Certification Form 4-2023 Version - PDF Fillable
MyUHC Member Flyer
One Pass Select Fitness Program
Quit for Life
Transition of Care and Continuity of Care form
UHC Rewards Wellness Program
UHC Rewards FAQ (help on how to link device)
UHC Welcome Brochure
UnitedHealthcare App
Virtual Visits 24-7
Virtual Visit Flyer
Value Adds (Will Prep Beneficiary Services, Travel Assist)
|
Claims Forms
Accident, Critical Illness, and Hospital Indemnity Claim Form
UHC Life Claim Form
UHC LTD Claim Form
UHC STD Claim Form
Wellness Benefit Claim Form for Accident Insurance
Wellness Benefit Claim Form for Critical Illness Insurance
Wellness Benefit Claim Form for Hospital Indemnity
|
Portability & Conversion
Accident Insurance Request for Portability Form
Critical Illness Request for Portability Form
Life Portability Form
Life Portability Flyer
Life Conversion Form
Life Conversion Flyer
Individual Life Conversion Form
|
|