| Name | Description |
|---|---|
| Employer Group Application 19804-200-2306 |
Application filled out by the employer for group coverage. Used for all group health plans (fillable PDF version). |
| Employee Group Application 27938-200-2306 |
Application filled out by the employee for group coverage. Used for all group health plans (fillable PDF version). |
| Employee Group Application - Spanish 36439-100-2308 |
Application filled out by the employee for group coverage. Used for all group health plans (fillable PDF version). |
| Employee Small Group Application - (No Medical Questions) 29655-200-2408 |
Application filled out by the employee for group coverage. Used for all group health plans (fillable PDF version). |
| Name | Description |
|---|---|
| WPS Small Group PPO/HDHP Plan Summaries 30410-100-2308 |
Plan summary for WPS Small Group plans, effective Jan. 1, 2024. |
| WPS Large Group Healthy Choices Plan Summary 28723-100-2307 |
Plan summary for WPS Small Group plans, effective Jan. 1, 2024. |
| Name | Description |
|---|---|
| Large Group Preventive Services 25488-100-2203 |
Highlights which preventive services are covered by WPS under the ACA. |
| Large Group Preventive Services - Spanish 35587-100-2204 |
Highlights which preventive services are covered by WPS under the ACA. |
| Small Group Preventive Services 32066-100-2203 |
Highlights which preventive services are covered by WPS under the ACA. |
| Telehealth services from Teladoc® 30145-100-2212 |
Telehealth® gives you 24/7/365 access to U.S. board-certified. |
| Vision Discount Program 36031-100-2305 |
Access to the EyeMed Vision Care discount program atno additional charge for membership. |
| Optional Dental Coverage 33873-100-2310 |
Optional dental coverage through Delta Dental. |
| Small Group Intake Checklist 29459-100-2112 |
Checklist for Small Group Intake |
| Agent FAQs: Small Groups 31539-100-2010 |
Frequently asked questions regarding small groups |
| Small Group $0 Drug List 35553-100-2307 |
|
| Express Scripts Tip Sheet 35564-100-2310 |
Tip sheet for Express Scripts |
| WPS HI Find a Doctor Tip Sheet 28161-100-2203 |
Tip sheet for Find a Doctor |
| WPS HI HP Price Reference Tip Sheet 34941-100-2012 |
Tip sheet-How to Choose the Right Care |
| Name & Form Number | Description |
|---|---|
| Non-Discrimination and Language Access Policy 29792-054-2211 |
This document outlines the non-discrimination and language access policies for WPS Health Insurance, WPS Health Plan and EPIC. (Inclusion of this piece is required with the distribution of all sales collateral.) |
| WPS How to Enroll in Active & Fit 32918-100-2309 |
Step by step to enroll in Active & Fit |
| Name | Description |
|---|---|
| Medicare Advantage vs. Medicare Supplement FAQ 35120-100-2102 |
Questions and Answers: Medicare Advantage vs. Medicare Supplement. |
As a WPS-listed agency, we welcome your efforts to promote our products. You may use the WPS logo in conjunction with advertising and promotion; however you must receive approval for use of the logo from WPS prior to producing any advertisement. The requirement to receive approval from WPS applies regardless of whether WPS provides any reimbursement for your advertisement. For more information regarding this requirement, please refer to your WPS Agency Producer Agreement.
The materials on this page are in Adobe Acrobat format (PDF).
Forms marked with an asterisk (*) are not available for download.
To Order Marketing Materials use the top navigation bar or contact your WPS sales representative.