Employer group eligibility verification

As part of your group insurance contract, it is important that you meet participation and eligibility requirements throughout the entire policy period. Your group may be asked to provide information verifying compliance with these guidelines. Any request for information must be received in its entirety by the date listed in your letter.

If you have recently submitted information, please allow up to 5 business days for us to process your information and update your status.

Check your verification status

Please enter your Group Number EXACTLY as shown on your Eligibility Verification audit letter, and press the submit button.

Status definitions

  • Incomplete: Our records indicate that you have provided incomplete information which is not suitable for verifying your group’s eligibility. 
  • Denied: The audit has been Denied. 
  • Approved: Your group meets the participation and eligibility guidelines outlined in your benefit contract. Your audit is approved.

DISCLAIMER: Due to individual state laws and regulations, requirements may vary from one state to another. Please refer to your Group Policy and/or Certificate of Coverage for details. If you do not have access to this information, please contact your Agent of Record or Account Manager.

Questions about your Eligibility Audit?

Please contact Risk Management at: risk.management@uhc.com

Audit forms

Based on either your Group Policy or State, download the Eligibility Verification Audit forms packet. Completed forms can be sent to UnitedHealthcare Risk Management.