Your Group ID is 06F3991

UHC Employee Application

Feel free to complete your application online with link above but if you feel more comfortable printing and completing a paper document you may click on the picture of the application to the right and the form will download to your computer. -->>

UHC Medical Benefit Summary

 Choice Direct Silver 2000/35 EPO

Click on the image below to download the Summary of Benefits for your plan. 
This is your employer's current benefit option as of 3/28/2020
Please continue to check back as your employer's benefit options may expand in April of 2020

Employee Medical Rate Guide

Your employer contributes 75% of the "Employee Only" rate. This means that the remaining 25% will be deducted pre-tax from your paycheck and any expenses related to the addition of dependents is the sole responsibility of the employee. 
Your monthly deductions are as follows:
Employee Only - $136.88
Employee & Spouse - $684.40
Employee & Children - $602.27
Employee & Family - $1149.79

Find an UHC Physician

Please use this link to find a doctor or check if yours is in the network.
 Dental is paid 100% by you, the employee.

YOUR GROUP ID IS W1299
YOUR PERSONAL POLICY NUMBER IS YOUR SS#

Dental

Click on the image below to download the
Summary of Benefits for your dental plan with Delta.

Enrollment App

Use the online application, below, to enroll in your employer's dental plan with Delta.

Monthly Dental Rates
​

Employee Only - $39.41
Employee & Spouse - $75.69
Employee & Children - $87.73
Employee & Family- $138.17

Find a Delta Dentist 

Please use this link to find a dentist or check if yours is in the network.

Helpful Contact Information

Clint Perry - Benefit Consultant
Toll Free - 888.587.9370
Local - 719.358.6519
Mobile 760.224.0416

clint@unlimitedbenefits.com
​
15954 Jackson Creek Parkway
​Monument, CO 80132
Debbie Park- Benefit Manager
debbie@axiomrepair.com