Your member handbook provides information on how to get care from your group health plan. It includes information on benefits, eligibility, choosing and changing your PCP, specialty care, where to go for emergency care, and more.
Enrollment Forms
Individual/Non Group Enrollment & Change Form
Please send the Individual/Non Group Enrollment & Change Form to:
Physicians Plus Insurance Corporation
PO Box 2078
Madison, WI 53701-2078
Health Questionnaire
Authorization for Release of Information
Electronic Funds Transfer Authorization & Change Form
Medical Certificates & Policy Information
Medical Certificate
New Individual Business Exclusions & Limitations
Appeals Process
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