Forms & publications

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

54-549 5-18

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)

54-549 10-18

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 enrollee notice

This document is the most frequently mailed notice to UMP members who may be affected by the settlement of a lawsuit over the Health Care Authority's coverage of direct-acting antiviral drugs for members with hepatitis C.

Letter

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 International Medical Claim Form

This form is for sending in a claim for medical services received internationally for all Uniform Medical Plans.

Form

UMP nondiscrimination statement and language access notice

54-984

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

Publication

UMP Notice of Privacy Practices effective November 1, 2018

54-820

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

UMP Open Enrollment Newsletter 2018

54-705

This newsletter contains important information for UMP members about benefit changes and new resources for 2018.

Newsletter

UMP Open Enrollment Newsletter 2018: Medicare edition

54-798

This newsletter contains important information for Medicare retirees enrolled in UMP Classic about benefit changes and new resources for 2018.

Newsletter

UMP Open Enrollment Newsletter 2019

54-705

This newsletter contains important information for UMP members about benefit changes and new resources for 2019.

Newsletter