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UHC Underwriting Updates Effective August 1, 2022

Jul 19, 2022

UnitedHealthcare is revising some of their underwriting guidelines to make it even easier to sell UHC than ever before.

 

New Guidelines

  • Participation requirement:
    • 1-4 enrolled 60% participation with UHC, excluding COBRA participants.
    • 5+ enrolled 25% participation (down from 60%) with UHC as a sole carrier OR if offering alongside a staff model (minimum 5 enrolled in CA with UHC), excluding COBRA participants.
  • No DE9C requirement for groups of 3+ enrolled (down from 10+ enrolled). Groups can use the Participation Certification Form in lieu of a DE9C.

 

Additionally, UHC will allow groups using a PEO for payroll only to sell alongside staff model HMO carriers effective July 1, 2022.

 

For questions, please contact a member of your B&P Sales Team - 888.722.3373.

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