UHC MedSupp Applications

Be SURE to use the correct version – Washington Only

UHC recently updated their Medicare Supplement applications. If you do not use the correct version, they will reject that app and require a new application be submitted on the correct form.

Here are the links to download the correct versions:

• Pre-July 1, 2017 effective dates – Enrollment Kit
• Pre-July 1, 2017 effective dates – Application
• July 1, 2017 and later effective dates – Enrollment Kit
• July 1, 2017 and later effective dates – Application

Please contact us if you have any questions.

Thank you,
AgencyRM Service Team
p: (855) 721-8088 f: (888) 635-8250
e: Service@AgencyRM.com