Benefits Administration

DiligentSolutions Health coverage Benefits is offered and administered by United Health Care and its affiliates.

Individual Online Access: myuhc

Note: Need to enroll in the Health coverage plan prior to access your current information of benefits, claims, coverage information

Benefits Resources:

Employee Enrollment Form: Employee Enrollment Form 200-4003

Health Insurance Claim Form for all states: Health Insurance Claim Form

ADA Dental Claim Form: Dental Claim Form

Prescription Drug Reimbursement Form: Prescription Drug Reimbursement Form

Additional Dependent Form: Additional Dependent Form 100-5221 9/06

HIPAA Consumer Privacy Notice: HIPAA Disclosure Authorization Form

For questions or assistance to Benefits related please contact benefits at 678-658-8118 x.215 or