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Producer Partners

PRODUCER INFORMATION & RESOURCES

WCIF understands how important it is for you to care for your clients. Partnering with us allows you to do just that.

WCIF offers a full suite of benefit options, not found elsewhere.  Your clients will be offered the very finest in desired value.  Our benefits contain comprehensive and sought-after plan designs from the most popular carriers in Washington.

Enrollment Forms

2026 Group Master Application
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Demographic Change Form
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Group Benefit Enrollment & Change Form | Non-Medical
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Group Benefit Enrollment & Change Form | All Lines
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    HIPAA Forms

    HIPAA Forms
    2 files
    pdf
    Waiver of Coverage
    1.7 mb
    Download
    pdf
    HIPAA Authorization for Release of Personal Health Information (PHI)
    26.66 KB
    Download

      Domestic Partnership Forms

      Domestic Partnership Forms
      2 files
      pdf
      Affidavit of Domestic Partnership
      764.05 KB
      Download
      pdf
      Declaration of Termination of Domestic Partnership
      468.45 KB
      Download

        COBRA

        COBRA
        3 files
        docx
        Sample COBRA General Notice
        40.48 KB
        Download
        pdf
        COBRA Notice to an Employer of a Qualifying Event
        121.39 KB
        Download
        docx
        Sample HRA FSA COBRA General Notice
        41.4 KB
        Download

          WCIF DISCOUNTS AND REWARDS

          Customer Care: 866-664-4621 or email them at customercare@benefithub.com

          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!

          Enter The Discounts & Rewards Member Portal

          For questions regarding BenefitHub offerings, please contact BenefitHub directly.

          See your Human Resources OR contact WCIF directly for the referral code for site access at: 1-800-344-8570.