WPS Health Insurance

Hello valued WPS agents,
if you need assistance, please call:

1-888-915-5061

Individual Applications for WPS Agent Use

Name & Form Number Description
2017 Individual Policy Application
25062-051-1607
Product-specific supplemental application for Individual Preferred Plan and Individual HSA-HDHP.
Online application for Individual Preferred Plan and Individual HSA-Qualified HDHP