SALES COLLATERAL
Benefit Comparisons
- Large Group Benefit Comparison (2023)
- Small Group Benefit Comparison (2023)
- Individual Benefit Comparison (2023)
Other Sales Materials
Humboldt-specific Resources
Visit our microsite choosewha.com/humboldt specifically for large and small groups in Humboldt County. Plus new for 2023, WHA is offering a new Medicare Advantage plan with access to Providence doctors and hospitals.
Medicare Resources
Looking for sales flyers, enrollment forms or plan documents? See our Medicare Advantage website for Tools & Resources to help you support your Medicare-eligible clients during this AEP.
PLAN DOCUMENTS
Large Group
- Premier (traditional copay plans)
- Advantage (traditional copay plans)
- Western (deductible plans)
- Prescription Plans
- Western HDHP (HSA-compatible plans)
- Optional Riders
Small Group
- Traditional Plans
- Deductible Plans
- HSA-Compatible High-Deductible Plans
- Optional Riders
- CalChoice Plans
Individual
Medicare Advantage
Member Benefit Information
- Advantage Referral
- Behavioral Health
- Complementary and Alternative Medicine (CAM)
- Digital Resources: Apps and Mobile
- Emergency Travel Assistance
- Health Plan Basics: WHA FAQs
- Hearing Aid Optional Rider from TruHearing
- HSA: Winning With HealthEquity
- Kaia Health Virtual Physical Therapy
- Livongo for Hypertension Flyer
- Manage Your HSA-Compatible HDHP
- Manage Your HSA-Compatible HDHP w/ HealthEquity
- Nutritional Counseling for Weight Management
- Open Enrollment Booklet for Employees
- Pediatric Dental
- Pediatric Vision
- Preferred Drug List (large group plans)
- Preferred Drug List (individuals and small group plans)
- Prescription Benefits
- Rate Filing Disclosure
- Rate Change Justification-Individual-Covered CA (English)
- Small Group Underwriting Guidelines
- Virta Type 2 Diabetes Reversal
- Wellness Brochure
Frequently Asked Questions
FORMS
Applications
- Individual Application + Supplement (2023)
- Individual Application + Supplement Spanish (2023)
- Large Employer Group Application (2023)
- Small Employer Group Application (2023)
Enrollment
Other
- Broker Opportunities Brochure
- Broker/Agent Kit and Forms
- HIPAA Authorization for Use or Disclosure
- Broker Direct Deposit Form
- Continuity of Care Request Form
- Declination of Coverage
- Non-Registered Domestic Partner Form
- Electronic Funds Transfer (EFT)
- One-Time eCheck Payment Authorization Form
- Individual Termination Form
- Member Termination Form for Groups
- Owner Statement
This SBC is currently unavailable online.
For assistance, please contact WHA Sales as described below.
Call 888.563.2250 or email individualsales@westernhealth.com.