Prescreen Only
- Completed Universal employee applications
- Please submit applications prior to attending so they can be reviewed for missing information
- Current Humana quote
| Case Submission
- ACH Form/Check - Required for all new business cases
- Employer business information application
- Employer medical selection application
- Universal Employee application
- Current Humana quote
- Most recent Quarterly Wage & Tax (UIC340)Document
- Prior carrier bill
|