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Members Only Forms

Please note these forms are for members currently covered by Wisconsin Health Fund.  Any changes made are not guaranteed until received and reviewed by the Eligibility Department at WHF.  Please refer to your Summary Plan Description or refer to it on-line by going to our home page and clicking on “View your Summary Plan Description”, for all eligibility requirements. 

Call 771-5600 or (888) 208-8808 and ask for Customer Service if you should have any additional questions or concerns.

 

All forms should be mailed to:

Wisconsin Health Fund
P.O. Box 601
Milwaukee WI 53201

 

Click on forms below to go to printable version:

 

 

 

Change of Address

Coordination of Benefits

Dependent Addition Form

Dependent Deletion Form

Full Time Student Form

Life Insurance Beneficiary

Loss of Time Application Form

 

 

 

 

 

 

 

 

    
 E-Mail:   WEBMASTER  at WHF IT Services

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