Wisconsin Agents Forms & Resources: Large Groups

New Large Group Forms

New Group Checklist

Employer Group Application

Employee Application Form
(Use when no claims experience)

Employee Application Form – English | Spanish
(Use with claims experience)

Large Group Census Template

Creditable Coverage – 2025 | 2024 – Learn More

Existing Large Group Forms

CMS Survey

COBRA Group Continuation Notice

New Hire Application/Employee Change form

Waiver of Coverage Form