Quartz - Central

Major Health Systems
  • Aurora Health Care
  • Gundersen Health System
  • ProHealth Medical Group
  • UnityPoint Health - Meriter Hospital & Clinics
  • UW Health Hospitals & Specialty Clinics
Full Service Areas
  • Adams County
  • Columbia County
  • Dodge County
  • Fond Du Lac County
  • Grant County
  • Green County
  • Green Lake County
  • Iowa County
  • Jefferson County
  • Juneau County
  • Lafayette County
  • Marquette County
  • Richland County
  • Rock County
  • Sauk County
  • Walworth County
  • Waukesha County
  • Waushara County
  • Wood County
Limited Service Areas
  • Illinois
  • Iowa
  • Minnesota
ET-2311
Form Active Employee / Local Employer / State Employer

COBRA Continuation - Conversion Notice

Under federal law, known as COBRA, you and your qualified beneficiaries may continue group health insurance coverage, if eligible.

Quartz - West

Major Health Systems
  • Black River Memorial 
  • Crossing Rivers Health 
  • Gundersen Health System 
  • OakLeaf IPA and Surgical Hospital 
  • Tomah Health
  • UW Health Hospital & Specialty Clinics
  • Vernon Memorial Healthcare 
Full Service Areas
  • Chippewa County
  • Crawford County
  • Eau Claire County
  • Jackson County
  • La Crosse County
  • Monroe County
  • Trempealeau County
  • Vernon County
Limited Service Areas
  • Buffalo County
  • Clark County
  • Pepin County
  • Illinois
  • Iowa
  • Minnesota
Flyer Active Employee / Local Employer / State Employer

Well Wisconsin Launch Flyer

The new Well Wisconsin portal is simpler, easier to use, and more customized to your personal experience. Complete a health assessment, health check, well-being activity to earn a gift card.

ET-4317
Form Active Employee / Retiree

Sick Leave Re-enrollment Application

Re-enroll for group health insurance coverage during the annual It’s Your Choice open enrollment period or after an involuntary loss of your comparable non-state coverage, if eligible.

Data Analytics and Insights

Data Analytics and Insights (DAISI) is a data warehouse and analytics tool administered by Merative. All the organizations that supply health and wellness products and services as part of the Group Health Insurance Program put data into DAISI through a secure file transfer process. DAISI organizes and protects this data and has tools to help make sense of the data.

Well Wisconsin 2020 Screening Options

The Board approved changing the health screening to a health check and added options for participants to fulfill the Well Wisconsin program activities to earn the $150 incentive in 2020.