Form Name | Effective Date | Download Form |
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New Group Submission |
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New Business Submission Checklist - Group Size 2-50 |
01/01/2020 | Download |
New Business Submission Checklist - Group Size 51-99, 100+ |
01/01/2020 | Download |
Employer Application |
01/01/2020 | Download |
Product and Benefit Selection Form |
01/01/2020 | Download |
ACEC Life/Health Insurance Trust Group Participation Agreement |
01/01/2020 | Download |
Direct Debit Form |
01/01/2020 | Download |
American Council of Engineering Companies (ACEC) California Membership Application (for qualifying groups not yet ACEC members) |
01/01/2020 | Download |
Form Name | Effective Date | Download Form |
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Enrollment and Change Forms |
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Employee Enrollment Application/Change/Cancellation Request |
01/01/2020 | Download |
Form Name | Effective Date | Download Form | |
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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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2020 Health Plan Product Offering Grid |
01/01/2020 | Summary |
Form Name | Effective Date | Download Form |
---|---|---|
2020 Health Plan Product Offering Grid (2 +Eligible Employees) |
01/01/2020 | Download |
2020 Health Plan Product Offering Grid (New Business 51+ Employees; Renewals 2+ Eligible Employees) |
01/01/2020 | Download |
ACEC - Illinois Non-Resident License Requirement |
01/01/2020 | Download |
ACEC Prescription Drug List |
05/01/2020 | Download |
ACEC Ancillary Bundling Discount Program |
01/01/2020 | Download |
Advocate4Me Flyer |
01/01/2020 | Download |
Behavioral Health Virtual Visits Flyer |
01/01/2020 | Download |
HealthiestYou ACEC Overview Flyer |
01/01/2020 | Download |
Online Provider Search Instructions |
01/01/2020 | Download |
ACEC Marketing Flyer |
01/01/2020 | Download |
Qualifications for Joining ACEC - California |
01/01/2020 | Download |
Form Name | Effective Date | Download Form |
---|---|---|
Contact List |
Download |