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United Healthcare (UHC) Group Medicare Advantage Enrollment Form How to complete this form 1. Answer all questions and print your answers using black or blue ink. Fill in check boxes with an X. 2.
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How to fill out fill in check boxes
01
Locate the check boxes on the form.
02
Read the instructions provided for each check box.
03
Use a pen or pencil to mark an 'X' or a check mark in the box you want to select.
04
Ensure that the check mark is clearly visible and does not mark any other box.
05
If you need to deselect a box, ensure it is left blank or use correction fluid as appropriate.
06
Review your selections to confirm they are accurate before submitting the form.
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