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IL UnitedHealthCare Employer Application for Large Group 2018 free printable template

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Employer Application for Large Group Illinois UnitedHealthcare Insurance Company UnitedHealthcare Insurance Company of Illinois UnitedHealthcare of Illinois, Inc. UnitedHealthcare Insurance Company
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How to fill out IL UnitedHealthCare Employer Application for Large Group

01
Obtain the IL UnitedHealthCare Employer Application for Large Group form.
02
Review the application instructions provided with the form.
03
Fill out the employer information section, including business name, address, and contact details.
04
Provide details about the group policy requested, including the number of employees to be covered.
05
List the eligible employees and their pertinent information such as names and dates of birth.
06
Complete the sections regarding the chosen health plans and coverage options.
07
Sign and date the application at the designated area.
08
Submit the completed application to the appropriate UnitedHealthCare representative or office.

Who needs IL UnitedHealthCare Employer Application for Large Group?

01
Employers in Illinois looking to provide health insurance coverage for their large group of employees.
02
HR professionals responsible for managing employee benefits.
03
Businesses seeking to offer UnitedHealthCare plans to their workforce.
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The IL UnitedHealthCare Employer Application for Large Group is a form used by large employers in Illinois to apply for health insurance coverage for their employees through UnitedHealthcare.
Large employers, typically those with 50 or more full-time equivalent employees, are required to file the IL UnitedHealthCare Employer Application for Large Group to obtain group health insurance.
To fill out the IL UnitedHealthCare Employer Application for Large Group, employers should provide accurate business information, employee data, and select the desired plan options as outlined in the application form.
The purpose of the IL UnitedHealthCare Employer Application for Large Group is to facilitate the process of obtaining health insurance coverage for large employers and their employees.
Employers must report information including company details, number of employees, types of coverage requested, and any previous insurance history as required on the application.
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