Health and Wellness
Perks & SavingsSM Application

We welcome businesses to apply for inclusion in the “Perks & Savings” discount program. For consideration, ​complete this form, and we’ll get back to you shortly.

Program Terms

If your application is accepted the following terms govern our relationship: 

  • Either You or Unity can terminate the relationship by giving the other party at least 60 days' written notice. Unity will provide notice to the contact person listed above. You can provide notice to Unity in writing:
    Unity Health Insurance
    ATTN: Provider Relations  
    840 Carolina St. 
    Sauk City, WI 53583 
  • Unity may identify You, and use Your logo, on Unity's website and in print materials. Let us know if You update Your name or logo, or the discounts offered, so we can keep our members informed. You can do so by emailing:
  • You can identify Unity, and use Unity's logo, on your website and in print materials. Unity must approve the use of its name and logo beforehand. You can submit materials for review by emailing:
  • You and Unity, respectively, maintain right, title and interest in your respective name, logo, and any other graphics.
I certify that everything on this form is accurate and true. I agree to the Program Terms listed above. I certify that I have the authority to sign on behalf of the entity listed above.