Documents and forms

Documents and forms State-mandated notices

Health and wellness—UnitedHealthcare (UHC) medical

2024 SBC - UHC Choice Plan (EPO)
2024 SBC - UHC Choice Plus Expanded Access (Out of Area) PPO Plan
2024 SBC - UHC Choice Plus High Deductible Plan
2024 SBC - UHC PPO Choice Plus Plan (PPO)
2024 SBC - UHC PPO Hawaii
2024 SPD - UHC Choice Plan (EPO)
2024 SPD - UHC Choice Plus Expanded Access (Out of Area) PPO Plan
2024 SPD - UHC Choice Plus High Deductible Plan
2024 SPD - UHC Choice Plus Plan (PPO)
2024 SPD - UHC Options PPO Plan (Hawaii Only)
2025 SBC - UHC Choice Plan (EPO)
2025 SBC - UHC Choice Plus Expanded Access (Out of Area) PPO Plan
2025 SBC - UHC Choice Plus High Deductible Plan
2025 SBC - UHC PPO Choice Plus Plan (PPO)