united concordia dental Enrollment Kits
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refer to the carrier’s underwriting guidelines for a complete list of requirements. Please use the latest version of forms.
Our goal is to process your new group enrollment easily and efficiently in order to provide you and your client with a quick approval. The following list outlines the health plan’s case submission requests:
- Completed United Concordia broker appointment paperwork.
- Rate card identifying sold plan and rates. If a United Concordia proposal was generated, a copy of the proposal identifying sold plan and rates.
- Completed employer master application.
- Completed employee enrollment forms or enrollment spreadsheet.
- Employee waiver forms are not required.
- Employer binder check is not required