UNITEDHEALTH CARE GROUP MEDICAL

Revised: February 24, 2017

ACA ENROLLMENT FORMS
Employer Enrollment Form Employee Enrollment Form
Payment Authorization Participation Form for 10+
 
ALL SAVERS ENROLLMENT FORMS
Employer Enrollment Employee Enrollment
Billing and Collections Excess Loss Application
Payment Authorization Employee Enrollment From (Spanish)
Alternate Funding Brochure Producers Guide
 
Both
1099 Certification Common ownership form