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Benefit Plans

Open Enrollment / Eligibility Verification Information

Please Note!

Open enrollment is the period each fall when enrollees may switch plans for coverage that will begin January 1 of the following year.

You must already be enrolled in WSHIP to participate in this process.

To assist you with lost or misplaced forms or the entire packet,
please locate your plan by clicking on the links below.

If you require assistance, please reach out to WSHIP customer service at 1-800-877-5187.

 

2021 Notices, Premium Rates, Plan Summaries, and Forms

Non-Medicare Plans (Preferred Provider, and HSA)
2021 Open Enrollment Notice
2021 Non-Medicare Rates
2021 Non-Medicare Eligibility Verification Form - (MUST be returned by December 15th)
Non-Medicare Plan Change Form
2021 Non-Medicare Comparison Chart
2021 Non-Medicare Summary Preferred Provider Plan
HSA Preferred Provider Plan

Click here for a printable/viewable copy of the entire open enrollment packet that was mailed to you. The documents listed above are included in this packet as well as the Summary of Benefit Coverage.

Medicare Basic Plan
2021 Medicare Basic Open Enrollment Notice
2021 Medicare Basic Rates
2021 Medical Supplement Plan Premium Rates
2021 Medicare Basic Eligibility Verification Form - (MUST be returned by December 15th)
2021 Medicare Basic Summary of Benefits
2021 Medical Supplement Summary of Benefits

Click here for a printable/viewable copy of the entire open enrollment packet that was mailed to you. The documents listed above are included in this packet as well as the Summary of Benefit Coverage.

Medicare Basic PLUS Plan
2021 Medicare Basic PLUS Open Enrollment Notice
2021 Medicare Basic PLUS Rates
2021 Medical Supplement Plan Premium Rates
2021 Eligibility Verification Form - (MUST be returned by December 15th)
2021 Medicare Basic Plus Summary of Benefits
2021 Medical Supplement Summary of Benefits

Click here for a printable/viewable copy of the entire open enrollment packet that was mailed to you. The documents listed above are included in this packet as well as the Summary of Benefit Coverage.

Medicare Medical Supplement Plan
2021 Medicare Medical Supplement Open Enrollment Notice
2021 Medicare Medical Supplement Rates
2021 Eligibility Verification Form - (MUST be returned by December 15th)
2021 Medicare Medical Supplement Summary of Benefits

Click here for a printable/viewable copy of the entire open enrollment packet that was mailed to you. The documents listed above are included in this packet as well as the Summary of Benefit Coverage.