Summary of Benefits and Coverage

UnitedHealthcare NHP HMO SBC
UnitedHealthcare HMO SBC

Summary Plan Description Booklets

IUOE Local 487 Health & Welfare SPD
Local 487 Mutual of Omaha Life and AD&D SPD

Downloads and Forms

Enrollment Application
HIPAA Authorization Form
HIPAA Authorization Form (Spanish)

Transparency in Coverage: Machine Readable Files

The links below lead to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and include negotiated service rates between health plans and healthcare providers. The machine readable files are formatted to allow researchers, regulators and application developers to more easily access and analyze data.

Machine Readable File links are forthcoming. Please check back soon.

United HealthCare In-Network Machine Readable File

These forms are published on this page by Associated Administrators, LLC
on behalf of the Client Fund and are meant solely for the use of their participants.