MHBP Postal (Postal Service Health Benefits Program) – Utah Network Selection fax number

Fax destination details

Department

Enrollment / Network Selection

Purpose

Complete the Utah Network Selection form for MHBP subscribers and submit via fax to 1-860-607-7297 (MHBP Postal Utah Form) or by mail to the designated MHBP address. The form selects between the AWH Connected Utah Network and the Utah MC – Choice POS II network; forms GC-16642 (7-25) and GC-16553 (11-21) provide the instructions.

Form

GC-16642 (7-25) — Utah Network Selection

Address

PO Box 818087, Cleveland, OH 44181-8087

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Instructions are printed on the Utah Network Selection form: enter subscriber information, select network (AWH Connected Utah Network or Utah MC – Choice POS II), and submit by the stated deadline.

Official form instructions are published as a downloadable file on the organization's website.