UnitedHealthcare Forms

We’ve put together some frequently used forms to help when you need them.

Composite Rate Contribution Guide

This tool is meant to assist you in calculating your health care contributions

  • Download the Microsoft Excel Spreadsheet here.

Medical Forms

Pharmacy

Stand Alone Vision Benefit

Members with UnitedHealthcare Vision® coverage who are also covered by an ACEC Trust medical plan can use their medical ID number to access vision benefits. Members with stand-alone UnitedHealthcare Vision coverage can use their Social Security number to access vision benefits. 

Stand Alone Dental

Life and Disability

  Forms

     • Life Claim
     • Short Term Disability
     • Long Term Disability


Additional information can be found at www.myuhcspecialtybenefits.com.

ACEC, your gateway to the ACEC Life/Health Trust.

Additional Resources:
www.acec.org

     Home            Brokers            Employers            Members            About Us/Contact Us            Join Today



You navigated to this page through either the Employers or Members page.