WCIF contracts with the top carriers in the state for our employee benefit plans.
Please click on the carrier logos below for access to provider directories.
The Standard plan administration is handled by WCIF. Please contact WCIF with questions regarding your coverage.
(800) 777-4114 for all WCIF members and their households
(855) 623-6334 or cobra@vimly.com for COBRA and Retirees Administration or (206) 859-2694 or wcif@vimly.com
Below you will find WCIF plan forms and materials separated by carrier. Most forms are available under the Employees Tab; however this page also offers additional forms, notifications and information that are for administrative use only. If you need copies mailed to you or cannot find what you are looking for, please contact Shawna Zusi-Cobb at shawna@wcif.net.
| File | Action |
|---|---|
| All Lines Enrollment Form | Download |
| File | Action |
|---|---|
| Life Claim Packet | Download |
| Beneficiary Designation & Change Form | Download |
| Basic & Voluntary Life Forms | Download |
| Accelerated Benefit Employee Claim Form.pdf | Download |
| Accelerated Benefit Claim Form for Spouses / Dependents | Download |
| Waiver of Premium Claim Packet | Download |
| VTL Booklet (enrollment form attached) | Download |
| Group Life Portability Application | Download |
| Group Life Conversion Materials | Download |
| Evidence of Insurability Form (Medical History Statement) | Download |
| Evidence of Insurability Online Submission | Download |
WCIF Premera medical plans have two separate networks, Heritage Plus and Prime.
When choosing a provider, it is important the provider is in the member’s network. Premera member ID cards will identify which network applies. If unsure, please contact customer service at Premera.
| File | Action |
|---|---|
| Guide to Taxation of Employee Disability Benefits | Download |
| File | Action |
|---|---|
| CDH FSA Account Overview | Download |
| CDH Advantages of the FSA | Download |
| 2023 DFSA Handout (ER Specific) | Download |
| CDH Mobile App | Download |
| CDH Eligible Expenses (OTC) | Download |
| Healthcare FSA Tax Savings Estimator | Download |
| CDH FSA - Rollover FAQs | Download |
| CDH FSA - Grace Period FAQs | Download |
| CDH Prepaid Benefits Card FAQs | Download |
| Consumer Portal QuickStart Guide (Debit Card) | Download |
WCIF Discounts & Rewards are partnered with BenefitHub to provide a FREE online portal available to all participating WCIF members. Select from thousands of local and nationwide discounts, hundreds of tools, wellness solutions, financial benefits, and many more!
See your Human Resources OR contact WCIF directly for the referral code for site access at: 1-800-344-8570.
