- Plan Info
- Indiana
- Small Group Plans
- Forms & Documents
Forms & Documents
These forms are in the PDF format. In order to print a form, you must have Adobe Acrobat Reader. This software is available for FREE from the Adobe Acrobat Web Site. Click the icon below and verify that your version of Acrobat Reader is the most current version available. Please note that UniCare does not provide Technical Support for Acrobat Reader Software. For technical support, contact Adobe.
- Small Group Employer Application
- Small Group Employee Application
- 2005 Small Group Important Notice Women's Health and Cancer Rights Act of 1998
- 2005 Small Group Notice of Privacy Practices
- 2005 Small Group Notice of Privacy Practices - Life Only
To view pdf files, you must have Adobe Acrobat® Reader® (available FREE from Adobe) installed.
To use this form:
- Download and install Acrobat Reader.
- Use Acrobat Reader and your printer to print the form.

© 2005 UniCare
