In this custom section you will find everything you need to enroll in the Employer Sponsored Health Plan with United HealthCare

The sections are split into Employer and Employee.

​Employees only need to complete documents in their section. All documents can be completed online. 

If you need assistance please contact 
​Clint Perry at clint@unlimitedbenefits or via phone at 888.587.9370

WELCOME TO UNLIMITED RESOURCES
Your Enrollment Portal

For the Employer Or Main Group Contact

UHC Group Master Application

Please complete this document on behalf of the entire group. It must be signed by a owner or officer of Grand Mesa Nephrology

UHC Direct Debit

This form must be completed to start the UHC program. No initial check is needed. The payment for the first month and proceeding months will be taken using ACH. NOTE: It may take up to two month before UHC initiates your first payment. 

SAMPLE DE-9C

In order to process your enrollment UHC will need a copy of your most recent DE-9C. The document to the right is a sample of that document. Please send it in an email to [email protected] . If you do not have a current DE-9C please, instead, email proof of payroll to Clint.
de9c.pdf
File Size: 158 kb
File Type: pdf
Download File

Benefits services offered, free, from UHC
uhc_benefitservicesoverviewfreetpaservices_rev8.11.pdf
File Size: 184 kb
File Type: pdf
Download File
Lighten your administrative responsibilities by offering:
Flexible Spending Accounts, Pre-Tax Premium Plans
and COBRA Administration. When you purchase UnitedHealthcare
medical coverage you automatically receive these services at
no additional cost to you1. Simply log in to www.uhcservices.com to
activate your benefits. Download this flier to learn more

Please also submit proof of business. This can include your Articles of Incorporation, 1120S or K1. Your Statement of Information submitted yearly to the state will also suffice. Please email to [email protected]

For the Employees
!Eligible Full Time employees waiving coverage must also complete page 5 of the app! 

UHC Employee Enrollment Form

Please have each enrolling employee complete this application. If you would like to select a physician and add them to your application you can find them using the "Find a Doctor" link further down this page. In the "Helpful Links" section.  IMPORTANT NOTE: Those employees that are eligible but WAIVING coverage must complete the bottom of page 2.

Contacts

Clint Perry - Unlimited Benefits Representative
Office: 719-358-6519
Toll Free: 888-587-9370
Fax: 866-375-5122
email: [email protected]

UHC Customer Support
866-633-2446

Helpful Links

UHC - Find A Doctor
My UHC

Frequently Asked Questions

Q. What is an HSA and how much can I contribute?
Did you know that in 2017 you can put up to $6750 per family or $3400 per individual into your HSA account to pay for qualified medical expenses? They are also tax-deferred! However, you must set up a bank account with an HSA status in order to deposit funds tax free. For further information call Clint at 719-358-6519. He'll help direct you to a qualified bank. 

Q: When do Medical maximums and deductibles reset?
A: Annual Deductibles, maximums and limits add up throughout the coverage year, then reset and begin again on the anniversary date of your coverage year. In this case, December 1. 

Q: What are qualified events?
A: If you are eligible to make coverage changes, your changes must be consistent with the change in status

The rules vary for each employer but here are some situations that qualify as a change in status:

1. Your legal marital status changes 
2. The number of your eligible children changes
3. You or your spouse lose coverage from a different employer

Q: What is my member ID number?
A: Your member ID number is a unique number provided to you by your employer or health plan, or it could be the last four digits of your Social Security number. If you’re not sure, your eye doctor or dental provider can usually access your benefit information with the last four digits of your Social Security number.