Secure Form

Contact Form for Employers

United Concordia values your business and strives to provide outstanding and timely customer service.

Click here to request representation at a military event.

Recipient ID or Group ID (optional)

Full Name

Email

Confirm Email

Daytime Phone

Comments

Verify Your Identity

For the fastest response please provide all details in the Comments section of the form.

We do not discriminate Learn More

Language Help

Sure you want to exit?

Your information will not be submitted if you exit the application now.

Exit Now

Identification Number

Use the following values depending on your relationship to United Concordia:

Members - Identification Number on your card
Dentists - Provider ID or NPI number
Employers - Group Number
Producers - United Concordia Producer ID (found on a commission statement or most correspondence issued by United Concordia)