See Plan Information section for carrier forms, contact and provider information, plan summaries, and more.
Employees
Plan Forms, Materials and Notifications for Administrators
Below you will find WCIF forms. Please refer to “Plan Information” tab for carrier-specific forms. 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 info@wcif.net
Demographic Change Form
Group Benefit Enrollment & Change Form | Non-Medical
Group Benefit Enrollment & Change Form | All Lines
HIPAA Forms
Domestic Partnership Forms
COBRA
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See your Human Resources OR contact WCIF directly for the referral code for site access at: 1-800-344-8570.