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1095-c forms will be made available in early March through the member portal. To have a hard copy mailed, contact customer service at 866-631-5404.

Agent Support Tools

Agency Manual
Small Group (2-50) Quoting Tools

Applications & Forms

Employee Application – No Medical Questions
Employee Application – Medical Questions
Employee Change Form
Employer Application
Disclosure Form: 2-50
Disclosure Form: 51+
New Small Group Checklist
Domestic Partner Declaration Form
Domestic Partner Dissolution Form
Individual ACH Form
Individual Application
Individual Change Form

Get A Quote

Contact us today to get a quote on the large group health plan.
Call: 715.843.1393 Email: Quotes@AspirusHealthPlan.com
Aspirus Health Plan

3000 Westhill Drive, Suite 303
Wausau, WI 54401

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