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)

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.