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Welcome Agents
Thank you for your partnership with Network Health. On this page, you'll find tools and resources to help you manage your business and quickly and easily distribute information to your clients. Our goal is to provide valuable resources to help you increase your productivity and bottom line.
As always, reach out to your account executive with feedback or questions. You can find our contact information in our Agent Reference Guide, or visit Contact Us for customer service and other key contacts.
Meet Our Sales Team
Our sales team works with agents like you on tailored implementations and renewals and we're focused on providing high-touch service that extends long after the sale. Learn more about our team and our vast health experience below.
Key Guides
Medicare Sales Material Agent Ordering Site
Our agent ordering site for Medicare agents to order sales kits, postcards, brochures and more.
Commercial Agent Portal Instructions
Instructions on how to access and use our commercial product agent portal.
Agent Guide
Your one-stop-shop to understanding all of Network Health's products.
Pharmacy Network Updates
On January 1, 2020, Network Health will transition to Express Scripts (ESI) as the pharmacy benefits manager (PBM) for all lines of business. ESI has provided pharmacy benefits management for Network Health Medicare members since 2005, so the Medicare population is not impacted by this change. This change only affects employer group and individual and family plan members—including those from the Health Insurance Exchange.
Beginning August 1, 2019, Walgreens pharmacies are in-network for all Network Health members (in northeast and southeast Wisconsin). All other pharmacy benefits remain the same until January 1, 2020.
Frequently Asked Questions about PBM transition
Forms and Resources
2019 Individual and Family Plans
2019 Plans and Product Sheets
2018 Plans and Product Sheets
- Large Group HMO and EPO Plans
- Value Product Large Group HMO and EPO Plans
- Large Group POS Plans
- Value Product Large Group POS Plans
- Small Group HMO Plans
- Small Group POS Plans
- Individual and Family Plans
Service Area
Assure Forms and Resources
New York Public Goods Pool - 4264
New York Public Goods Pool - 4399
W-9
Individual Plan Forms and Resources
Group Plan Forms and Resources
2019 Large Group HMO Plan2019 Large Group HMO Plan Value Product
2019 Small Group HMO Plan
2019 Large Group POS Plan
2019 Large Group POS Plan Value Product
2020 Large Group HMO Plan
2020 Large Group HMO Plan Value Product
2020 Large Group POS Plan
2020 Large Group POS Plan Value Product
Application 51 to 100
Common Ownership Certification
Coordination of Benefits Form
Electronic Funds Transfer Form
Eligibility Certification
Employer Data Form
Group Master Application
Membership Application and Change Form
Membership Application and Change Form - Spanish
Mid-large Sized Group Quoting Process
Mid-sized Group Submission Checklist
Small Employer Uniform Employee Application OCI 26-501
