Page numbers referenced within this brochure apply only to the printed brochure
UnitedHealthcare Insurance Company, Inc.
This plan's coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page (Applies to printed brochure only) for details. This plan is accredited. See page (Applies to printed brochure only).
Serving all of the following states: Alabama, Arizona ( Phoenix and Tucson), Arkansas, Colorado, District of Columbia, Florida, Iowa, Kentucky, Louisiana, Maryland, Mississippi, Nevada, North Carolina, Oregon, Pennsylvania, Tennessee, Virginia, Washington
Enrollment in this Plan is limited. You must live or work in our Geographic service area to enroll. See page 15 for specific geographic information /requirements.
Enrollment codes for this Plan:
Southeast: Alabama, Arkansas, Florida, Louisiana, Mississippi, North Carolina, & Tennessee
LS1 Self Only, LS3 Self Plus One, LS2 Self and Family
Central: Iowa, Kentucky
N71 Self Only, N73 Self Plus One, N72 Self and Family
West: Arizona (Phoenix and Tucson), Colorado, Nevada, Oregon, Washington State
LU1 Self Only, LU3 Self Plus One, LU2 Self and Family
Northeast - District of Columbia, Maryland, Pennsylvania, Virginia
V41 Self Only, V43 Self Plus One, V42 Self and Family