Join the Self Insure Wisconsin Movement!

Say YES to taking back control of your health plan
Say YES to savings for your business and employees
Say YES to transparency

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It is extremely easy to get a quote from Self Insure Wisconsin! Just submit the information below
and upload an excel census of your currently enrolled members. You will then hear from us very shortly!
For any questions/concerns please reach out to help@selfinsurewisconsin.com.

* Please upload your excel census below of your currently enrolled members (names, date of birth, gender, home zip code of employees, spouses, and kids enrolled)

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Name
Business Address
How did you hear about Self Insure Wisconsin?
What do you see as the biggest opportunity for improvement in your health plan? (Select all that apply)
Click or drag files to this area to upload. You can upload up to 5 files.
Upload an excel census of your currently enrolled members (names, date of birth, gender, home zip code of employees, spouses, and kids enrolled) *
Consent

Self Insure Wisconsin is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us.

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