Get 5800 Granite Parkway Suite 900, Plano, Tx 75024 (800) 842 ...

Filling out the 5800 Granite Parkway Suite 900 document online is a crucial step for submitting your case effectively. This guide will walk you through each section, ensuring you provide the necessary information correctly and efficiently.

Follow the steps to successfully complete the form online.

1. Press the 'Get Form' button to access the document and open it in your preferred online editor.
2. Begin by entering the case name in the designated field at the top of the form.
3. For the Employer Application, select whether you are also applying for vision coverage, if applicable.
4. Choose your plan selection in the appropriate section.
5. If your employer group consists of 51 or more employees, upload a copy of the evaluation form.
6. Attach a copy of the sold rates that were agreed upon.
7. Complete the enrollment forms as indicated.
8. If you are not electing coverage, include the waiver forms with your enrollment form.
9. Upload the most recent billing statement, ensuring all names are accounted for (enroll, waiver, or term).
10. Provide a copy of your employer's most recent state quarterly wage and tax statement, ensuring all names are accounted for.
11. Prepare a binder check for the first month’s premium, made payable to United Healthcare.
12. Complete and attach the sold case summary checklist.
13. If your group is electing dental coverage, provide either a renewal or a copy of the prior bill and COC to waive the 12-month waiting period.
14. Review your entries, then sign and date the form to confirm your understanding of the terms and conditions.
15. Once all sections are completed, save the changes, and choose to download, print, or share the form as needed.

Complete your documents online today for a streamlined process!