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  • Membership Change Form - Health Plan Of Nevada

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FOR EMPLOYER USE ONLY: P.O. BOX 15645 LAS VEGAS, NV 89114-5645 Membership Change Form SECTION 1: ALL INFORMATION IN THIS SECTION MUST BE COMPLETED BY SUBSCRIBER CURRENT GROUP/SUBSCRIBER # MEMBER ID.

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HMO plans provide members with lower premiums, copays and out-of-pocket costs when compared to most other types of health plans. Your plan provides coverage for medical care, behavioral health, and pharmacy benefits.

Need further assistance? Please call toll-free at 1-800-962-8074, Monday through Friday, 8 a.m. to 6 p.m. local time. You can also send us an email.

Call: 1-800-777-1840, M-F 8:00 AM to 5:00 PM. Send Email/Fill out form.

Health Plan of Nevada (HPN) is a UnitedHealthcare Company. Health Plan of Nevada is Nevada's oldest and most experienced health maintenance organization (HMO) providing Nevadan's with quality health care since 1982. HPN offers a variety of health insurance plans from traditional HMO plans to POS medial plan options.

Need further assistance? Please call toll-free at 1-800-777-1840, Monday through Friday, 8 a.m. to 5 p.m. local time. You can also send us an email. Simply fill out the form below and we'll be in touch.

Health Plan of Nevada is Nevada's oldest and most experienced health maintenance organization (HMO) providing Nevadan's with quality health care since 1982. HPN offers a variety of health insurance plans from traditional HMO plans to POS medial plan options.

1. Log into your Nevada Health Link account and click My Enrollments in the left-hand navigation. 2. Scroll down to the appropriate plan and click Cancel Coverage.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232