UnitedHealthcare Level Funded

• May 2021 Advantage 4-Tier PDL
• May 2021 Essential 4-Tier PDL
• Standard Select Pharmacy Network

• All Savers Motion Guide
• All Savers Rally Flyer
• All Savers Real Appeal
• All Savers Welcome to Wellness

• All Savers Taxes And Fees

• All Savers Grid Effective 8-1-20
• All Savers Grid--Effective 9-1-21

• All Savers Playbook
• All Savers Producers Guide

• NY Public Goods Pool DOH 4264
• NY Public Goods Pool DOH 4399
• NY Public Goods Pool Surcharge Info Sheet

• All Savers Navigate Broker Overview
• All Savers Navigate Enroll Member Checklist
• All Savers Navigate PCP Selection
• All Savers Navigate--Important To Know

• Final Quote Checklist--Migration
• UHC to All Savers Migration Overview

• UnitedHealthcare Level Funded Community Chamber Commerce Attestation Form

• HealthiestYou Complete Bundle
• HealthiestYou Complete Bundle - Back Care\
• HealthiestYou Complete Bundle - Behavioral Health
• HealthiestYou Complete Bundle - Dermatology
• HealthiestYou Complete Bundle - Expert Medical Services

• UnitedHealthcare Level Funded Plan Sponsor Excess Loss Application

• UnitedHealthcare Level Funded 12 Month Rate Guarantee Form
• UnitedHealthcare Level Funded 15 Month Rate Guarantee Form
• UnitedHealthcare Level Funded Common Ownership Certification
• UnitedHealthcare Level Funded Payment Authorization Form (Post Installation)
• UnitedHealthcare Level Funded Plan Sponsor Application

• UnitedHealthcare Level Funded Affidavit of Domestic Partnership
• UnitedHealthcare Level Funded Plan Participant Enrollment Application
• UnitedHealthcare Level Funded Plan Participant Enrollment Application Form 25 or more participants

• All Savers Broker Specialty Check List
• All Savers Sold Case Checklist
• Final Quote Checklist (Member Level Apps)
• Final Quote Checklist (Member Level Census)
• Preliminary Quote Checklist (Member Level Apps)
• Preliminary Quote Checklist (Member Level Census)

• UnitedHealthcare Level Funded Billing and Collection Agreement

• American Health Network Brochure