Home About MBN-USA Medicare Group Insurance Individual Insurance Workplace Rewards Forms Contact Home AboutMBN-USA Medicare GroupInsurance Individual Insurance WorkplaceRewards Forms Contact Get a Quote TODAY and Start SAVING! CALL: 412.341.1400 TEXT: 412.927.2792 IMPORTANT FORMS FOR YOUR EASY ACCESS United Health Care Forms: Level Funded Billing and Collection Agreement Plan Sponsor Application Level Funded Application for Excess Loss Insurance New York Electronic Filing User ID Application New York Payor Election Application State of New York Health Care Reform Act - Public Goods Pool Demographic Spreadsheet 110 Roessler Rd, Suite 100 Pittsburgh, PA 15220 Phone Number: 412.341.1400 Office Hours: 9AM - 4PM, Monday - Friday 506 Washington Rd Washington, PA 15301