Forms

Census template for submitting employee eligibility and COBRA administration data. Updated 4/10/26

Application for new and renewing groups covering eligibility, plans, and contributions. Updated 4/10/26

Enrollment form to add, change, or decline coverage for employees and dependents. Updated 08/26

Form for multiple related business entities to consolidate under one billing umbrella. Updated 12/25

Proof of eligibility for owners not on payroll to qualify for WG Health coverage. Updated 3/30/26

Agreement outlining employer terms, billing, and enrollment requirements with WG Health. Updated 12/25

Affidavit documenting agricultural affiliation to qualify for WG Health participation. Last Updated 12/19/25.

Renewal form for accepting current rates or requesting plan and contribution changes. Updated 4/10/26

Brochure covering WG Health services and coverage for agricultural businesses. Updated 10/2025

Brochure comparing Saver, Cedar, HSA, Spectrum, and Grow plans with benefit details. Updated 11/02/26

Reference guide listing WG Health plans without creditable Medicare Part D coverage and associated late enrollment penalty information. Updated: 10/28/26

Application for Western Growers Association membership for qualifying companies. Updated 9/10/26

RFP submission form for brokers to request proposal quotes for large groups (California 101+ lives, Arizona 51+ lives). Updated: 07/29/26

Dairy plan brochure comparing Cedar Guernsey, Spectrum, and HDHP/HSA plan options with benefit details. Last Updated: 9/2026

Brochure detailing plan options, copays, and deductibles for the WG Health Saver Plans. Updated 9/2026

Affidavit documenting agricultural affiliation to qualify for WG Health participation. Last Updated 12/19/25.

Application for new and renewing groups covering eligibility, plans, and contributions. Updated 4/10/26

Form for multiple related business entities to consolidate under one billing umbrella. Updated 12/25

Proof of eligibility for owners not on payroll to qualify for WG Health coverage. Updated 3/30/26

Agreement outlining employer terms, billing, and enrollment requirements with WG Health. Updated 12/25

Application for Western Growers Association membership for qualifying companies. Updated 9/10/26

Census template for submitting employee eligibility and COBRA administration data. Updated 4/10/26

Enrollment form to add, change, or decline coverage for employees and dependents. Updated 08/26

Renewal form for accepting current rates or requesting plan and contribution changes. Updated 4/10/26

RFP submission form for brokers to request proposal quotes for large groups (California 101+ lives, Arizona 51+ lives). Updated: 07/29/26

Reference guide listing WG Health plans without creditable Medicare Part D coverage and associated late enrollment penalty information. Updated: 10/28/26

Dairy plan brochure comparing Cedar Guernsey, Spectrum, and HDHP/HSA plan options with benefit details. Last Updated: 9/2026

Overview of Western Growers Health’s key differentiators including exclusive member benefits, network partnerships, Cedar Health Centers, and telemedicine services. Updated 09/26

Brochure covering WG Health services and coverage for agricultural businesses. Updated 10/2025

Brochure detailing plan options, copays, and deductibles for the WG Health Saver Plans. Updated 9/2026

Brochure comparing Saver, Cedar, HSA, Spectrum, and Grow plans with benefit details. Updated 11/02/26