You must complete a Domestic Partner Affidavit to enroll a domestic partner. If you wish to enroll a child of your domestic partner, you must first enroll your domestic partner. You must then complete a Child of Domestic Partner Declaration for each child you enroll.
|Provider||Customer Service||Group Number|
|United Healthcare||(800) 357-0971||730610|
|Delta Dental Plan of Arizona||(800) 352-6132||4602|
|Total Dental Administrators||(888) 422-1995||680110|
|Avesis, Inc.||(800) 828-9341||1101-2182|
General questions or requests for assistance can be directed to Sheri Hughes at (877) 403-3569 or firstname.lastname@example.org.
The UA Alternative Medical Plan is a United Healthcare HMO. If you elect this plan, OptumRx will be the provider for pharmacy benefits. Enrollment is automatic.
Provider Search: Select “United Healthcare Choice Plus” as your plan.
The UA Alternative Vision Plan is offered through Avesis
You may choose from a participating network provider or non-provider.