United Healthcare Enrollment Forms
 

UHC Enrollment Forms

Ready to enroll in one or more of our insurance programs? Below you will find all the necessary insurance forms to do so. In all cases, you will need to send the forms to the WIBA office. We will then direct the forms to the appropriate agency. You can fax the form(s) to 316-201-3263 or mail them to WIBA/KIBC Insurance at 200 E. 1st St., Ste. 101, Wichita, KS 67202.

If you have questions, please call Karen Fillenworth, manager insurance services, at 316-201-3264 or email insurance@wiba.org.

 

Employee_2-25.pdf
Size: 149.75 KB
UHC Employee Enrollment 2-25
UHC Employer Enrollment 2011.pdf
Size: 315.81 KB
UHC Employer Enrollment Form
Location:
WIBA Board Room, 200 E. First St., Ste. 101
2/22/2012 11:30 AM
Location:
WIBA Board Room, 200 E. First St., Ste. 101
2/23/2012 11:30 AM
Location:
WSU Devlin Hall
2/24/2012 12:30 PM
Location:
Corporate Caterers
2/29/2012 11:45 AM
3/2/2012 10:00 AM
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