| Form Name | Effective Date | Download Form |
|---|---|---|
|
New Group Submission |
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|
New Business Submission Checklist - Group Size 2-50 |
06/01/2023 | Download |
|
New Business Submission Checklist - Group Size 51-99 |
06/01/2023 | Download |
|
Employer Application |
06/01/2023 | Download |
|
Product and Benefit Selection Form |
06/01/2023 | Download |
|
ACEC Life/Health Insurance Trust Group Participation Agreement |
06/01/2023 | Download |
|
Direct Debit Form |
06/01/2023 | Download |
| Form Name | Effective Date | Download Form |
|---|---|---|
|
Enrollment and Change Forms |
||
|
Employee Enrollment Application/Change/Cancellation Request |
06/01/2023 | Download |
| Form Name | Effective Date | Download Form | |
|---|---|---|---|
|
American Council of Engineering Companies (ACEC) Life/Health Trust plans are available to eligible member groups of 2 or more employees. All ACEC groups are written on UnitedHealthcare of Illinois Large Group plans and have a choice of over 130 plans and multiple Rx options. See the product grid below for plan information and contact your RBG office for specific plan summaries. |
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|
Health Plan Product Offering Grid (2 +Eligible Employees) |
06/01/2023 | ||
|
Health Plan Product Offering Grid (New Business 51+ Employees; Renewals 2+ Eligible Employees) |
06/01/2023 |
| Form Name | Effective Date | Download Form |
|---|---|---|
|
ACEC Life/Health Trust Overview |
06/01/2023 | Download |
|
Top 5 Reasons to Choose ACEC Life/Health Trust |
06/01/2023 | Download |
|
Health Plan Product Offering Grid (2 +Eligible Employees) |
03/01/2024 | Download |
|
Health Plan Product Offering Grid (New Business 51+ Employees; Renewals 2+ Eligible Employees) |
03/01/2024 | Download |
|
ACEC - Illinois Non-Resident License Requirement |
06/01/2023 | Download |
|
ACEC Qualifications for Joining - California |
01/01/2020 | Download |
|
ACEC Prescription Drug List |
06/01/2023 | Download |
|
ACEC Ancillary Bundling Discount Program |
06/01/2023 | Download |
|
Advocate4Me Flyer |
06/01/2023 | Download |
|
Advocate4Me Flyer - Employer Flyer |
06/01/2023 | Download |
|
Advocate4Me Flyer - Member Flyer |
06/01/2023 | Download |
|
Member Welcome Kit |
06/01/2023 | Download |
|
Member Rewards Flyer |
06/01/2023 | Download |
|
Online Provider Search Instructions |
07/01/2023 | Download |
|
UHC Specialty Pharmacy Program |
06/01/2023 | Download |
|
Virtual Visits Overview Flyer |
06/01/2023 | Download |
|
Apple Fitness+ Flyer |
06/01/2023 | Download |
|
Designed Wellness Program |
06/01/2023 | Download |
| Form Name | Effective Date | Download Form |
|---|---|---|
|
Contact List |
07/01/2023 | Download |
