Home > Members > State of Wisconsin Group Health Insurance Program > State of Wisconsin Group Health Forms & Resources State of Wisconsin Group Health Forms & Resources State of Wisconsin Group Health Insurance Program State Plans Local Plans Network Options Health & Wellness Extras Some Text State of Wisconsin Group Health Insurance Program State Plans Local Plans Network Options Health & Wellness Extras Essential forms and resources Estimate your costs, determination of benefits worksheet (PDF)Authorization for Disclosure of Protected Health InformationHealth plan transition form (PDF)Member claim form (PDF)View Your Rights and Protections Against Surprise Medical Bills 2025 Annual member letter UW Health NetworkCentral NetworkWest Network 2024 Annual member letter UW Health NetworkCentral NetworkWest Network Contact us Quartz is here to help. That’s why we make it easy to reach us.Call Quartz Customer Success (844) 644-3455 or message us on Quartz MyChart. Contact Quartz Quartz MyChart