Documents- Forms
Rock County Open Enrollment Power Point
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 mcare@MHemail.org. ; enter in subject line QHSMD/QHS.
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
