For more information on how we can help you with your health care needs, simply complete this online form. In the meantime if you'd like to expedite the process, download this excel file and submit to:

Fields marked with an * are required.

I'm interested in:


Number of Employees*
Enter "1" if interested in coverage for yourself and/or your family.

Number of Employees currently covered by insurance

First Name*

Last Name*

Company Name*

Company Address*




Phone* (xxx-xxx-xxxx)


Do you currently work with a Broker?
If yes, what's the Broker's name?
And the Agency's name?


UnitedHealthcare offers special health care pricing and solutions for AAHOA members.

Here are some key features of our alliance program:
  • Exclusive discounts on standard group medical plans and specialty benefits.
  • Restaurant & Hospitality Association Benefit Trust option for small employers in the hospitality industry. Not available in all states.
  • Wellness programs and services designed to help improve employee health, productivity and retention.

Some restrictions may apply.