Find everything you need to enroll with confidence. Our Carrier Enrollment Kits include the most up-to-date forms, applications, and brochures for each health plan we represent.

Organized by carrier and region, these kits make it easy for you and your clients to get started quickly and accurately.

Summary of Benefits & Coverage provides a centralized location to view and download standardized summaries for each carrier and plan.

These documents help your clients make informed decisions by clearly outlining coverage details, cost-sharing, and what to expect from their plan.

Help clients find their doctors and medications with ease. Our Provider & Rx Search gives you direct access to each carrier’s search portal, so you can quickly verify doctors, specialists, hospitals, and covered prescriptions.

HMO

Rx Vendor: OPTUMRx
Rx BIN: 610279
Rx Grp: UHCNICE
Service Numbers:
800-788-7871(Pharmacist only)
800-797-9791 (Pharmacy Help Desk for Providers & Pharmacists)
800-562-6223 (Member Services)

Rx PCN: 9999

PPO

Rx Vendor: OPTUMRx
Rx BIN: 610279
Key Accounts Rx Grp: UHEALTH
Service Numbers:
800-788-7871(Pharmacist only)
800-797-9791 (Pharmacy Help Desk for Providers & Pharmacists)
800-562-6223 (Member Services)

Rx PCN: 9999
Rx Grp: UHC
Service Number: 800-788-7871

New Hire rates will be based on the member’s age at the member’s enrollment date.

What is the effective date of coverage for a newborn, and how are premiums requested?

Coverage for newborns begins on the date of birth.

Premiums vary based on whether the group uses composite rates or age-banded rates.

Composite Rates:

Premiums are determined by the family coverage tier—Employee, Couple, Parent & Child(ren), or Family—regardless of how many children are enrolled.

• When adding a newborn, no premium increase applies if another child is already covered under the plan.
• If the newborn is the first and only child, the premium is prorated after the first 31 days of coverage.

Age Banded Rates:

Premiums are based on the age of each individual enrolled and are prorated after the first 31 days.

• A maximum number of children may be billed; for example, if five children are enrolled, the plan may only charge premiums for three, depending on the carrier’s guidelines.

UnitedHealthcare policy allows the group at least 60 days to provide official notification of a newborn’s enrollment (also referred to as positive enrollment).

An SSN is not required at the time of adding a newborn. It can be submitted once it has been issued.

Is there an additional cost for covering the newborn during the first 30 days?

There is no premium increase during the first 31 days of a newborn’s coverage.

Does this apply to both the mother and the father?

Yes.

Member App for downloading ID cards

The UnitedHealthcare app is available for download for iPhone® or Android

Member Web access instructions on how to access online account

Visit myuhc.com and click Register Now.

Can a broker download ID cards?

Yes.

Do dependents receive ID cards?

Yes.

Prior Carrier Deductible Credit is available for HMO-to-PPO, PPO-to-PPO, and HSA-to-HSA plan transitions.

Prior Carrier Deductible Credit does not include Out-of-Pocket Maximum (OOPM) carryover.

An EOB for each employee and dependent seeking credit, or a carrier deductible report, is required.

Submit documentation to clientserviceoperations@uhc.com

All United Health Care Small Group plans are considered creditable for the 2026 plan year

View UHC’s Medicare Part D Creditable Coverage.