| Administrator: | United Healthcare |
| Group Number: | 192086 |
| Member Services: | 800.842.1219 |
| Medical Plan: | PPO (Choice Plus Network) and the CDHP (Choice Plus Network) |
| Business Hours: | 7 a.m. to 7 p.m. Central time Monday through Friday |
| Member Website: | http://myuhc.com Use this Web site to:
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| Address: | P.O. Box 30555 Salt Lake City, UT 84130-0555 |
| Summary Plan Description: | View the Retiree Medical Summary Plan Description (CDHP) View the Retiree Medical Summary Plan Description (PPO) |
| Claim Forms: | In-Network: No Form Required Out-of-Network: Medical Claim Form |