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Overview
Summary
of Health Insurance Plan Options
A summary of United Healthcare's three plan options.
Summary
of 2005 Health Insurance Rates and Special Enrollment Rules
A breakdown of monthly contribution rates, eligibility, and definitions
of enrollment rules.
United
Healthcare's web site
Information about United Healthcare. This site also provides the opportunity
to search for United Healthcare Providers.
United
Healthcare's Preferred Drug List
Prescription
Drug Reimbursement Form
Health
Insurance Plan Options
Plan
13, 9, and 10's Pharmacy Program
Description of Plan 13, Plan 9, and Plan 13's Pharmacy Program (Pharmacy
Program number and Health Plan number are not the same).
Plan
13 (Basic)
Description of United Healthcare's Basic Plan. With the Basic Plan, you
pay a lower employee premium each month and pay more when using medical
services.
Plan
9 (Basic Plus)
Description of United Healthcare's Basic Plus Plan. With the Basic Plus
Plan, you pay a greater monthly employee contribution and lower out-of-pocket
expenses when using medical services.
Plan
10 (Basic Choice)
Description of United Healthcare's Basic Choice Plan. With the Basic Choice
Plan, you pay the highest monthly employee contribution, and the lowest
out-of-pocket expenses when using medical services.
Enrollment
United
Healthcare Enrollment Form
When enrolling for United Healthcare, print this form, fill it out, and
bring it to Human Resources. Also, use this form if you need to: drop
or add dependent(s); make an address change, name change, primary care
physician change; or declare additions/change in status.
Health
Insurance Waiver Form
Employees who have other health care coverage may opt out of the University
sponsored Health Plan. Whenreturning the signed waiver form to your Human
Resources office, you must include a copy of your health insurance I.D.
card.
Health
Insurance: Change in Family Status Form
If you have had a change in family status within the last 30 days you
may be allowed to make changes in your insurance coverage. Print and fill
out this form and return it to Human Resources with the required supporting
documentation and the United Enrollment/Change form.
Questions
Please
read all of the information available on this web site. If
you have questions, please e-mail them to benefits@tulane.edu
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