Forms & publications

Can't find what you need? Visit UMP Forms and publications for more documents.

UMP Classic 2018 Certificate of Coverage (COC)

This book describes what is covered under UMP Classic, including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible and coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim.

Publication

UMP Classic 2019 Certificate of Coverage (COC)

This book describes what is covered under UMP Classic, including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim.

Publication

UMP Classic and UMP Plus: 2019 High-cost generic drugs

This is a 2019 list of generic prescription drugs covered at Tier 2 under UMP Classic and UMP Plus. The list is subject to change throughout the year, so check back regularly for updates.

Publication

UMP Classic and UMP Plus: Value Tier Drugs

This is a list of drugs covered under the Value Tier cost-share for UMP Classic and UMP Plus.

Publication

UMP Consumer-Directed Health Plan (UMP CDHP) 2017 Certificate of Coverage (COC)

This benefits book describes what is covered under UMP CDHP, including medical services and prescription drugs, as well as specific services not covered by the plan. Finding preferred providers and how much you'll pay, including your deductible and coinsurance, and out-of-pocket limit. It also includes your Health Savings Account, how to request an appeal, and submit a claim.

Publication

UMP Consumer-Directed Health Plan (UMP CDHP) 2018 Certificate of Coverage (COC)

This book describes your benefits under UMP CDHP, including medical services and prescription drugs. It describes how to find preferred providers and how much you'll pay to see them (including your deductible and coinsurance, and out-of-pocket limit). It also explains how your Health Savings Account works, how to request an appeal, and how to submit a claim.

Publication

UMP Consumer-Directed Health Plan (UMP CDHP) 2019 Certificate of Coverage (COC)

This book describes your benefits under UMP CDHP, including medical services and prescription drugs. It describes how to find preferred providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). It also explains how your Health Savings Account (HSA) works, how to request an appeal, and how to submit a claim.

Publication

UMP fact sheet on opioids

This one-page fact sheet helps explain the UMP opioid clinical policy. The policy applies to prescriptions filled on or after January 2, 2018.

Publication

UMP nondiscrimination statement and language access notice

This nondiscrimination statement describes how UMP complies with applicable federal civil rights laws.

Publication

UMP Notice of Privacy Practices effective November 1, 2018

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. This notice is effective November 1, 2018.

Publication

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