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.

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 

Assure Forms and Resources

Individual Plan Forms and Resources

Group Plan Forms and Resources

Application 51 to 100
Common Ownership Certification
Coordination of Benefits Form
Electronic Funds Transfer Form
Eligibility Certification
Employer Data Form
Master Employer Group Application
Membership Application and Change Form
Membership Application and Change Form - Hmong
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

Medicare Advantage