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Rate Request Form

Rate Request Form 2-50 Rate Request Form for 2-50 Employee Market
Census Census Information Form
For 51+ employee market, contact us for more information.


OnLine Literature Request Form

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Broker Resources

The following resources are available to brokers by completing and submitting a literature request form to the UPMC Health Plan Distribution Service Center.

Pediatric Advice Line
Network Provider Map
HMO Provider Index
PPO Provider Index
Standard Plans Guide
UPMC Health Plan Member Overview
My Health Online
UPMC Consumer Advantage
Consumer-Directed Products
Health Reimbursement Account
Health Savings Account
2006 Your Choice Benefit Guide
2006 Out-of-Area Pharmacy Network
Pharmacy Mail Order Flyer
Vision Flyer (Exam Only)
Vision Flyer (Exam Plus)
Travel Assistance Program (TAP)
Census Healthy Living Rewards Flyer

Contact us today to learn more about becoming a broker at UPMC Health Plan.