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