Notices/Forms

Creditable Coverage Letter

2023 for 2024 Creditable Coverage Letter

COVID-19 Information

Click on the following link for the most current COVID-19 information from UHC.
https://www.uhc.com/health-and-wellness/health-topics/covid-19/faq
Visit www.myuhc.com/covid for up-to-date plan and benefit information.

Employee and Change form – use for enrollments, terminations, and changes effective 1/1/2023 and after, including Open Enrollment submissions

HBP Plan Information for Employees

No Surprise Billing

The document attached below provides detailed information about the federal No Surprises Act.
Prohibition on Balance Billing

Federal Surprise Billing Notice from United Healthcare

Attached below is a proposed email response for a Housing Authority to send to any out-of-network provider when the Housing Authority learns that the out-of-network provider is still “balance billing” HBP participants for services on or after January 1, 2022. Each Housing Authority is free to revise for tone or to otherwise personalize, but the substantive message should not be changed.
Proposed Email for Housing Authorities to send to out-of-network providers who continue to “balance bill”