DMBA-affiliated HMO Applications

Kaiser of California Enrollment or Change Form
Kaiser of California COBRA Enrollment Form
Kaiser of Hawaii Enrollment or Change Form
Kaiser of Hawaii COBRA Enrollment Form
Kaiser Senior Advantage (California and Hawaii)

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Monday, Tuesday, Thursday, Friday

Wednesday

2024 Holiday Schedule

Salt Lake City Area:

Toll Free:

Hawaii (8am-5pm HAST):

Missionary Medical:

Canadian Benefits:

UHC Information:

UHC Patient Eligibility:

MetLife Dental (outside of Utah & Idaho):

Hearing Impaired Dial 7-1-1 or TTY:

Medical/Dental Claims:

Member Enrollment:

Savings Plans/Retirement:

Pre-authorization:

Provider Relations:

Missionary Medical FAX:

DMBA Network Claims

Missionary Medical Claims

UHC Network Claims

Shipping Address

Website Address:

Phone Number:

DMBA-affiliated HMO Applications

Medical Providers

Mental/Behavioral Health Providers

Dental Providers

Other Providers

Pharmacy

Medicare Providers

Contact us

Send Message

Schedule an Appointment

Business HoursAll times in Mountain Daylight Time

Monday, Tuesday, Thursday, Friday

Wednesday

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Data Security

Telephone

Salt Lake City Area:

Toll Free:

Hawaii (8am-5pm HAST):

Missionary Medical:

Canadian Benefits:

UHC Information:

UHC Patient Eligibility:

MetLife Dental (outside of Utah & Idaho):

Hearing Impaired Dial 7-1-1 or TTY:

Fax

Medical/Dental Claims:

Member Enrollment:

Savings Plans/Retirement:

Pre-authorization:

Provider Relations:

Missionary Medical FAX:

Mail

DMBA Network Claims

Missionary Medical Claims

UHC Network Claims

Shipping Address

Employee Assistance Program (EAP)

Website Address:

Phone Number:

DMBA-affiliated HMO Applications

2024 Holiday Schedule