Rock County Employees

Documents- Forms

Rock County Open Enrollment Power Point

Stay Healthy Form

MercyCare Employee Guide

Employee Application- Must be returned directly to your HR Department

Transition of Care Request Form

The Form needs to be faxed to the confidential QHMD fax of 608-752-7726.  Or, to send by email to ; enter in subject line QHSMD/QHS.

Transition of Care Q & A

Access Your Benefits:

Find a Doctor in your Network. Once on this page, select your plan ” Rock County Employees”  and then select  “practitioner or facility/ clinic”


Plan Documents (SOB, SBC, Certificate of Coverage and Rx Rider)  Once on the site enter your group number

MyChart. You will need to create an account if you have not already established one

Customer Service: (800) 895-2421 , Option 2