Medicare Supplement Plans - UnitedHealthcare MedicareRx for ...

To put this payment method into effect, applicants
need to fill out an Automatic Payment form (included
in the enrollment kit). Applicants must keep a copy
of the completed Automatic Payment form. They
can submit the Automatic Payment form with the
application and a check for the first month’s premium.
If an application is submitted with an Automatic
Payment form but does not include a check for the
first month’s premium, the policy will be overdue until
the first month’s payment is submitted.
Note: Commissions will be delayed until the first
month’s premium is paid in full.
Billing Procedures
Members will receive billing information for their
account. Two individuals in a household who share
an AARP membership number will receive one billing
statement for the household.
However, if two members in a household would like to
be billed separately, they must have separate AARP
membership numbers. Alternatively, if two individuals
in the household have individual AARP membership
numbers, billing can be combined, if requested.
Example: An application is submitted with an
effective date of February 1 but no payment for the
first month’s premium. On March 5, the Automatic
Payment will process for one month’s premium only,
meaning the policy will be paid through February
only. On April 5, the Automatic Payment will draw one
month’s premium and apply it to March’s premium.
If an application is submitted with an Automatic
Payment form but includes a check with an amount
greater than the first month’s premium, the
difference will be applied to the next month’s premium.
Example: An application is submitted with an effective
date of April 1, and the first month’s premium is
overpaid by $15. On May 5, the Automatic Payment will
process for the May premium less $15. On June 5, the
Automatic Payment will process for full June premium.
Automatic Payment processing only occurs on the 5th
of each month.
Processing
2. Direct Bill/Coupon Booklet: Members may
write a check each month and send it by mail using
their coupon books, which they will receive after
they have enrolled. Checks must be made out to
“UnitedHealthcare Insurance Company.”
California
This information applies for plan effective dates of January 1, 2011 - December 1, 2011 27