- LEP Reconsideration Request Form
- Drug Reconsideration Request Form
- Health Questionnaire
- Part B request for employer information
- Medicare Part B EFT document (used to have your Part B premiums drafted out of your checking account when you aren’t drawing SS)
- 1-800-MEDICARE Power of Attorney (used to let a 3rd party discuss information with Medicare over the phone only) Comes in handy with a spouse or if you help a parent
- More Info on UHC Downloadable
- Online Form UHC More Info