T.A.S.K Insurance Agency Inc.
"Your friend in the business"
PO Box 2668 / Olathe KS 66063
(P) 913-538-7043
Insurance made easy!
Real People - Real Answers!
Listed below is the United Healthcare
applications. Please fill out the employer application and
we will need a employee application for each employee. The
applications are state specific so please be sure to download the
correct state. All forms are in 
. If
you don't have Adobe reader installed on your computer please click on
the link below.
Kansas Applications:
Employer Application Employer Application Addendum
Employee Applications based on number of employees for the company:
Additional Dependents form for all group sizes
Missouri Applications:
Employer Application Employer Application Addendum
Employee Applications based on number of employees for the company:
Additional Dependents form for all group sizes