Forms, Brochures and Publications

As of the 1994 coverage year, all health plans offering coverage in the State of Wisconsin Group Health Insurance Program must provide the Uniform Benefits as described in this document.

Certificate of Coverage for the It's Your Choice Medicare Plus Plan for the 2019 plan year.

As of the 1994 coverage year, all health plans offering coverage in the State of Wisconsin and Wisconsin Public Employers Group Health Insurance Program Option 6/16 must provide the Uniform Benefits as described in this document.

IYC Local Access Plan Certificate of Coverage for the 2019 plan year.

IYC Local Access Plan Certificate of Coverage for the 2019 plan year.

IYC Local Deductible Plan Certificate of Coverage for the 2019 plan year.

IYC Local Health Plan Certificate of Coverage for the 2019 plan year.

IYC Local High Deductible Health Plan Certificate of Coverage for the 2019 plan year.

IYC Local Traditional Plan Certificate of Coverage for the 2019 plan year.

Medicare Advantage, with deductible, Evidence of Coverage for the 2020 plan year.