These forms and documents explain how to complete the application process and make changes to your existing coverage:

• Employer group application WI/ IL
• IL Enrollment application
• WI Enrollment application
• Change of status
• Waiver of coverage
• Member benefit directory
• Coordination of Benefits
• Auto Withdrawal Form

If you have any questions regarding the forms and documents listed here, please call MercyCare Health Plans at (800) 895-2421.