To enroll online, you must agree to the terms below. If you agree, then check the I Agree box and click Begin Enrollment to start.
Terms of Agreement
Welcome to WEA Trust’s online enrollment application!
Please note, your employer will validate the accuracy of the following enrollment form fields before final submission: employer name, WEA Trust group number, first date of employment, annual salary, average hours worked, occupation, and line of insurance you are applying for. If any errors are identified, the employer will make alterations where appropriate.
Please use this checklist when enrolling for coverage in a WEA Trust insurance product.
Read our full website and confidentiality policy.
If you have any questions or concerns about the online enrollment application process, please call Eligibility Services at 800.279.4000.
Withdrawal of Electronic Consent
Your consent to enroll electronically is limited to the WEA Trust insurance plan(s) designated during enrollment. You may withdraw your electronic consent at any time during the Enrollment process by selecting the Exit button. To withdraw electronic consent after enrolling, call Eligibility Services at 800.279.4000. This will remove your online consent from future interactions.
If you prefer to enroll using a paper form, contact Eligibility Services at 800.279.4000. You will be mailed a paper copy of the enrollment form.
IMPORTANT NOTICE ABOUT TIMELY ENROLLMENT IN THE WEA TRUST GROUP HEALTH PLAN
It is important that you apply for group health coverage by submitting an enrollment form, listing all individuals for whom you wish coverage, within 30 days of becoming eligible for coverage. If you waive or decline coverage when you are initially eligible, your ability to enroll later will be seriously affected. Unless your enrollment qualifies as one of the special late enrollment circumstances below, you and your dependents may be required to exhaust a 12-month waiting period.
Loss of other health coverage: If you initially waived coverage for yourself or your dependents (including your spouse) because you or they were covered under other health insurance coverage and that other coverage is lost, you may enroll yourself and/or your dependents in the
WEA Trust group health plan; however, you must apply within 30 days of the loss of other coverage.
If you and/or your dependents experience a loss of eligibility for Medicaid or BadgerCare, OR you and/or your dependents become eligible for Wisconsin’s premium assistance subsidy under Medicaid or BadgerCare, you may enroll yourself and/or your dependents in the WEA Trust group health plan; however, you must apply for Trust coverage within 60 days of either of these events.
Elimination of employer contributions: If your spouse’s employer discontinues their premium contributions for coverage under the group health plan in any 12-month period, you may enroll yourself and/or your dependents in the WEA Trust group health plan; however, you must apply within 30 days of the change in contribution.
New dependents: If you acquire an eligible dependent through marriage, birth of a child, adoption, or placement for adoption, you and your eligible dependents are eligible for coverage, effective on the date of the marriage, birth, adoption, or placement for adoption; however, you must apply within 30 days of the date you experience one of these events.
To apply for coverage due to one of the circumstances listed above, you must:
This notice applies only to group health insurance.
- Timely complete the WEA Trust enrollment form
- Be an active member of the eligible class of employees
- Complete any waiting period required by your employer
If you have any questions on the methods for a special late enrollment, please call our Eligibility Services team at 800.279.4000, Extension 7813
Checking the I Agree box is your legal signature for purposes of electronic online enrollment. If you agree to the above terms, check the I Agree box and select Begin Enrollment.
Employee Enrollment Form
Short Term Disability Form