MyPlanTools provides access to the information you need in one secure portal. The site includes –
And much more!
Small Group Product Forms
New Small Group Forms
Existing Group Forms
Large Group Product Forms
New Large Group Forms
Existing Large Group Forms
Individual & Family Forms
Medicare Select Forms
Change Forms and Miscellaneous Forms
Group Reporting Forms
Spanish Forms / Formas en Español
Employee Application / Forma de Aplicación Del Empleado
Small Employer Uniform Application - State / Solicitud Estándar Para Empleados De Pequeñas Empresas Con Seguro Médico Grupal - Estado
Condensed Employee Application / Aplicación Condensada Del Empleado
Spanish Materials / Materiales en Español
© 2017 Unity Health Plans Insurance Corporation. All rights reserved.
Quartz Health Solutions, Inc., Unity Health Plans Insurance Corporation, Gundersen Health Plan, Inc., Gundersen Health System, and UW Health are separate legal entities.
Unity Health Insurance is a Qualified Health Plan issuer in the Health Insurance marketplace. For assistance in a language other than English, call 800.362.3310 and the Customer Service representative will get you help in the language you need. TTY users should call 711 / 800.877.8973. Unity Health Insurance does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations.