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UnitedHealthcare INSURANCE COMPANY
CONTINUATION ENROLLMENT FORM FOR STUDENTS AND THEIR DEPENDENTS
UTAH STATE UNIVERSITY2017585691PRIMARY INSURED COMPLETE INFORMATION BELOW FOR STUDENT.
SOCIAL SECURITY
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How to fill out unitedhealthcare insurance company continuation
How to fill out unitedhealthcare insurance company continuation
01
To fill out UnitedHealthcare Insurance Company continuation, follow these steps:
02
Obtain the continuation of insurance form from UnitedHealthcare Insurance Company.
03
Fill in the requested personal information such as your name, address, and contact details.
04
Provide your policy information, including policy number and group number.
05
Indicate the reason for your continuation, such as termination of employment or loss of dependent status.
06
Attach any necessary supporting documentation, such as a termination letter or proof of dependent loss.
07
Sign and date the form.
08
Submit the completed form to UnitedHealthcare Insurance Company by the specified method, whether it be through mail, fax, or online submission.
09
Keep a copy of the filled-out form for your records.
Who needs unitedhealthcare insurance company continuation?
01
UnitedHealthcare Insurance Company continuation is needed by individuals who have experienced a qualifying event that allows them to maintain their insurance coverage even after the original policy ends.
02
Examples of individuals who may need UnitedHealthcare Insurance Company continuation include:
03
- Employees who have been terminated or laid off
04
- Individuals who have experienced a reduction in work hours that affects their eligibility for employer-sponsored insurance
05
- Dependents who lose coverage due to reaching the age limit or experiencing another event that leads to the loss of dependent status
06
- Individuals who have recently divorced or legally separated from a spouse who provided insurance coverage
07
- Individuals who have recently lost coverage due to the death of the policyholder
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What is unitedhealthcare insurance company continuation?
UnitedHealthcare insurance company continuation is a process by which individuals can extend their current health insurance coverage.
Who is required to file unitedhealthcare insurance company continuation?
Individuals who wish to continue their health insurance coverage with UnitedHealthcare are required to file for continuation.
How to fill out unitedhealthcare insurance company continuation?
To fill out UnitedHealthcare insurance company continuation, individuals need to complete the necessary forms provided by the insurance company and submit them before the deadline.
What is the purpose of unitedhealthcare insurance company continuation?
The purpose of UnitedHealthcare insurance company continuation is to provide individuals with the option to extend their health insurance coverage when it would otherwise be terminated.
What information must be reported on unitedhealthcare insurance company continuation?
Information such as personal details, current insurance plan details, and reason for requesting continuation must be reported on UnitedHealthcare insurance company continuation forms.
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