Name | Description |
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Individual Application 25062-100-2308 |
Application for individual WPS business (PPO and HSA-qualified HDHP). |
Individual Plan Summaries 30050-100-2307 |
Plan summary for WPS PPO plans, effective Jan. 1, 2024. |
Name | Description |
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Payment Authorization 29551-200-2010 |
WPS payment authorization form. |
Telehealth services from Teladoc® 30145-100-2212 |
Telehealth® gives you 24/7/365 access to U.S. board-certified doctors. |
Vision Discount Program 36031-100-2305 |
Access to the EyeMed Vision Care discount program at no additional charge for membership. |
Optional Dental Coverage 33873-100-2310 |
Optional dental coverage through Delta Dental. |
Optional Transition Relief Dental Coverage 23819-100-2310 |
Optional Delta Dental Coverage for those with Transitional Plans. |
Preventive Services 32066-100-2203 |
Highlights which preventive services are covered by WPS under the ACA. |
Name | Description |
---|---|
Short-Term Health Plan Application 33596-100-2306 |
Application for Short-Term Health Plan. |
Name | Description |
---|---|
Short-Term Brochure 33544-100-2308 |
Overview of WPS Short-term plan, effective Jan. 1, 2024. |
Payment Authorization 29551-200-2010 |
WPS payment authorization form. |
WPS Short-Term Health Plan FAQ 35787-100-2112 |
Frequently asked questions about WPS Short-Term Health Plan. |
WPS Short-Term Statewide Network 33969-100-2210 |
Overview of WPS Short-term Statewide Provider Network. |
Name & Form Number | Description |
---|---|
Optional Transition Relief Dental Coverage 23819-100-2310 |
Optional Delta Dental Coverage for those with Transitional Plans. |
HDHP Frequently Asked Questions 21655-100-2101 |
Answers frequently asked questions on HSAs and HDHPs. |
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 |
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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 | Description |
---|---|
WPS - Illinois Employee Group Enrollment Application - no medical questions |
Fillable PDF application filled out by the employee for coverage in Illinois. |
WPS - Illinois Employer Group Application |
Fillable PDF application filled out by the employer for large group coverage in Illinois. |
Name & Form Number | Description |
---|---|
WPS Wellness Flyer 32916-100-2102 |
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 & Form Number | Description |
---|---|
WI WPS Medicare Sales Book 29595-100-2406 |
Product overview, benefits summary, and rates for WPS Medicare supplement insurance plans for 2025. |
WI WPS Medicare Outline of Coverage 29782-100-2406 |
Product overview, benefits summary and rates for WPS Medicare supplement insurance plans for 2025, with updated deductible and coinsurance information. |
WI WPS Medicare Application 25656-200-2407 |
Application for WPS Medicare supplement insurance plans. |
Name & Form Number | Description |
---|---|
WI WPS Medicare Sales Book 29595-100-2310 |
Product overview, benefits summary, and rates for WPS Medicare supplement insurance plans for 2024. |
WI WPS Medicare Outline of Coverage 29782-100-2310 |
Product overview, benefits summary and rates for WPS Medicare supplement insurance plans for 2024, with updated deductible and coinsurance information. |
WI WPS Medicare Application 25656-200-2401 |
Application for WPS Medicare supplement insurance plans. |
Name | Description |
---|---|
Medicare Advantage vs. Medicare Supplement FAQ 35120-100-2102 |
Questions and Answers: Medicare Advantage vs. Medicare Supplement. |
WPS’ provider networks offer convenient access to the physicians and health care facilities you know and trust throughout Wisconsin. Choose from our comprehensive statewide networks or our cost-effective local and regional networks.
NOTE: The Instant Protection Plan is only available with the Statewide network.
Statewide Network *Our Statewide Network includes more than 63,000 doctors and practitioners, a wide range of clinics and specialty care centers, and 175 hospitals.
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The First Health Network *This is a perfect addition for those who travel extensively outside of Wisconsin, such as students, dependents or folks who just like to travel a lot. The First Health Network is available in conjunction with the networks above marked with an asterisk (*). |
WPS’ provider networks offer convenient access to the physicians and health care facilities you know and trust throughout Wisconsin. Choose from our comprehensive statewide networks or our cost-effective local and regional networks.
Southern Network *This regional network covers the majority of south central Wisconsin as well as parts of Illinois and Iowa, with 22 hospitals and over 2,000 health care providers to choose from.
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Statewide Network *Our Statewide Network includes more than 63,000 doctors and practitioners, a wide range of clinics and specialty care centers, and 175 hospitals throughout Wisconsin, as well as parts of Illinois, Iowa, and Minnesota.
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The First Health Network *This is a perfect addition for those who travel extensively outside of Wisconsin, such as students, dependents or folks who just like to travel a lot. The First Health Network is available in conjunction with the networks above marked with an asterisk (*). |
WPS offers a variety of networks for you to choose from that can combine both regional and national provider access. Please browse the networks listed below to view the WPS options for employees who reside outside of Wisconsin.
The First Health Network is one of the nation's largest PPO networks, offering access to quality, affordable health care through TPAs, carriers and managed care plans. First Health provide seamless, flexible managed care solutions that help you to manage medical expenditures and promote optimal satisfaction.
National Networks-at-a-Glance | Search for First Health providers located outside of Wisconsin* |
Midlands Choice is a Midwest preferred-provider organization (PPO) with:
The core network spans Nebraska and Iowa.
National Networks-at-a-Glance | Search for a Midlands Choice provider |
Available for groups size of 51+.
CoFinity is an independent Preferred Provider Organization (PPO), a network of physicians, hospitals, and other health care providers that have agreed to accept reduced service fees in order to provide affordable health care services. This network is available for those who live in Michigan, Northern Indiana and Northern Ohio.
Unlike most local PPOs that operate in a single state, our expanding network covers Michigan, Ohio, Indiana and parts of Kentucky, Wisconsin and Illinois.
Visit the CoFinity website to search for providers in these states* |
Available for groups size of 51+.
Search for Sagamore Plus providers* |
Delta Dental of Wisconsin is our partner in providing dental benefit packages.
Name & Form Number | Description |
---|---|
WPS Health Insurance and WPS Health Plan Individual Dental Plan Summary |
Plan Summary for the optional dental plan offered with the WPS Individual plans. |
WPS Health Insurance Transitional Relief Dental Plan Summary |
Plan Summary for the optional transitional relief dental plans offered with the WPS Health Insurance Individual plans. |
Name & Form Number | Description |
---|---|
Delta Dental quote request 26510-021-1404 |
Checklist for submitting quote requests to Delta Dental. |
Name & Form Number | Description |
---|---|
WPS Vision Discount Program tip sheet 36031-100-2305 |
Highlights benefits of WPS' vision discount program. |
Name & Form Number | Description |
---|---|
Easy Ways to Lower Your Prescription Drug Costs 26446-021-1402 |
Tri-fold brochure contains important information on how to lower your costs when choosing generic medications as well as important facts from the FDA, and FAQs. |
ESI Specialist Pharmacist Brochure 26445-021-1402 |
Single page instructions on how to access specially trained pharmacists at Express Scripts. |
WPS Step Therarpy 30851-100-2009 |
WPS Health Insurance and WPS Health Plan tip sheet explains how step therapy for medications works for members. |
Name & Form Number | Description |
---|---|
WPS Group Preventive Health Benefits tip sheet 25488-100-2309 |
Lists the preventive services available for WPS Health Insurance and WPS Health Plan groups |
Name & Form Number | Description |
---|---|
WPS Teladoc Flyer 30145-100-2109 |
Overview of Teladoc services available to WPS Health Insurance and WPS Health Plan members. |
WPS Teladoc Flyer - Spanish 30145-100-2109 |
Overview in Spanish of Teladoc services available with WPS Health Insurance and WPS Health Plan. |
Teladoc Dermatology Flyer 37393-100-2212 |
Overview of Behavioral Health and Dermatology services offered on Teladoc. |
Teladoc Mental Health Flyer 37400-100-2212 |
Overview of Mental Health services offered on Teladoc. |
Teladoc Multi Services Flyer - Spanish 36896-100-2202 |
Overview in Spanish of Behavioral Health and Dermatology services offered on Teladoc. |
Teladoc App Setup Flyer 37455-100-2301 |
Step by step instructions to set up your Teladoc account on a mobile device. |
Teladoc Primary 360 $0 Flyer 37455-100-2301 |
Overview of the Teladoc Primary 360 program. |
Name & Form Number | Description |
---|---|
Agency Manual |
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2023 Individual Credibility Coverage Determinations |
Creditable Drug Coverage Determinations for Jan. 1, 2023. |
2024 Individual Credibility Coverage Determinations |
Creditable Drug Coverage Determinations for Jan. 1, 2024. |
Agent Listing Application |
Individual Agent Listing application to be appointed with the WPS companies. |
2023 Small Group Credibility Coverage Determinations |
Creditable Drug Coverage Determinations for Jan. 1, 2023. |
2024 Small Group Credibility Coverage Determinations |
Creditable Drug Coverage Determinations for Jan. 1, 2024. |
2023 Large Group Credibility Coverage Determinations |
Creditable Drug Coverage Determinations for Jan. 1, 2023. |
2024 Large Group Credibility Coverage Determinations |
Creditable Drug Coverage Determinations for Jan. 1, 2024. |
Find Out How MACRA May Impact Your Clients |
Overview guide to MACRA. |
WPS - Agency Admin capabilities |
Overview guide to Agency Admin capabilities. |
WPS Health Insurance and WPS Health Plan - Capabilities of the Agency Support Role |
Overview guide to Agency Support Role. |
WPS Health Insurance/Health Plan - How to Use the Agency Principal Portal |
Overview guide to Agency Principal Portal. |
WPS Health Insurance and WPS Health Plan - How to View Your Book of Business |
Overview guide to view your Book of Business. |
Cruising In to Medicare Guide Brochure |
Overview guide to making the transition to Medicare coverage. For States: AZ, CO, IA, IL, KS, IN, MI, NE, OH, OK, PA, TN, TX, WI |
Cruising In to Medicare Guide Brochure |
Overview guide to making the transition to Medicare coverage. (FL Only) |
Agent info - How to generate your WPS data dashboard reports |
The step-by-step guide on accessing and generating your reports. |
Agent info - How to order marketing materials from the agent portal |
This sheet explains the steps needed to order printed marketing materials for WPS Health Insurance and WPS Health Plan via the online agent portal. |
Agent info - How to use the Small Group Rate Calculator WPS Health Insurance and WPS Health Plan |
This tip sheet explains how to use the WPS Health Insurance and WPS Health Plan Small Group Rate Calculator. |
Medicare Supplement Insurance Buyer's Worksheet |
A helpful tool to walk clients through the buying process. |
WPS Sales Contact Sheet - HI Economics |
Contact information for the WPS HI Economics office. It is available for download on the agent site. It will not be available in Central Stores. |
Medicare Market Solutions Contact Sheet |
Contact information for the Medicare Market Solutions team. It is available for download on the agent site. It will not be available in Central Stores. |
Understanding Medicare Allowed Amounts |
Overview of what Medicare covers and examples of Medicare Allowed Amounts |
WPS Health Insurance and WPS Health Plan - Know your health insurance jargon |
Overview of WPS Health Insurance and WPS Health Plan jargon terms |
MMS Cover Letter for Paper Apps without Agent Signature |
Cover letter to send to members who worked with a Direct agent (WPS employee) and no agent has signed their application. |
Name & Form Number | Description |
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WPS ASO Stop Loss Brochure |
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WPS ASO Provider Network Sales Brochure |
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WPS ASO Care Management Sales Brochure |
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WPS ASO Administration Sales Brochure |
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WPS ASO Utilization Management Sales Brochure |
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WPS ASO Pharmacy Benefit Management Sales Brochure |
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WPS ASO CHC Wellness Sales Brochure |
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WPS ASO ESI Pulmonary Care Program Sales Brochure |
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WPS ASO ESI Specialty Drug Program Sales Flyer |
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WPS ASO FocusHealth Sales Brochure |
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WPS ASO Teladoc Dermatology Sales Brochure |
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WPS ASO Teladoc General Medical Solutions Sales Brochure |
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WPS ASO Teladoc Telehealth Services Solutions Sales Brochure |
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WPS-Auxiant Partnership Overview Flyer |
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WPS ASO Teladoc Primary 360 Sell Sheet |
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.