Instructions to apply for coverage (for a child alone under age 19)
During a special enrollment period Golden Rule must receive forms within 30 days of involuntary loss of other insurance for a reason other than fraud, misrepresentation or failure to pay premium (must provide proof of loss).
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Not intended for use in New Mexico. UnitedHealthOneSM is a brand name used for products underwritten, administered, and/or provided by: Golden Rule Insurance Company (Indiana domiciled, CA certificate of authority number 4407), American Medical Security Life Insurance Company (Wisconsin domiciled, CA certificate of authority number 08079), PacifiCare Life and Health Insurance Company (Indiana domiciled, CA certificate of authority number 5813), Oxford Health Insurance, Inc., Oxford Health Plans (NJ), Inc., UnitedHealthcare Insurance Company, UnitedHealthcare Services, Inc., Dental Benefit Providers, Inc., or Spectera, Inc. Health Insurance plans are medically underwritten and availability varies by state. Coverage may be provided by multiple policies/certificates. Additional Products are provided by: Careington International Corporation, EyeMed Vision Care, Sirius International Insurance Corporation, or Delos Insurance Company |