WAICU

You Have Big Plans for the Future.


Some college students view health insurance as an unnecessary expense, something they can’t afford. The truth is, a good health plan is something that no student can afford to be without.

Why? Because no one can predict an illness or injury. Without health insurance, even a simple cough or fever can cost you hundreds of dollars in medical bills. And more serious health problems can put your entire academic career at risk, not to mention your financial future outside of school.

Relax—we’ve got you covered.

WPS Health Insurance, in partnership with the Wisconsin Association of Independent Colleges and Universities (WAICU), makes it easy for you to reduce the financial risks of illness and injury, and at the same time, get the coverage you need to maintain your health.

So you can stop worrying and focus on other things—like fulfilling your dreams.

Traveling Abroad?

WPS has partnered with Seven Corners to manage the emergency medical care of customers who receive this benefit when they leave the United States. Learn more at the Seven Corners website.

Individual Dental Insurance

The Wisconsin Association of Independent Colleges and Universities (WAICU) and WPS Health Insurance have teamed up with Delta Dental of Wisconsin to offer you optional dental coverage at a monthly rate you’ll like!

Now all students who enroll in the health insurance coverage sponsored by WAICU can choose any dentist for a variety of routine and major dental services. From cleanings and X-rays to fillings and crowns, this valuable option provides the essential coverage every student needs for a healthy smile.

To apply

First, make sure you’re enrolled in the health insurance coverage sponsored by WAICU. Next, print and complete the application below. Finally, submit the completed application. It’s that easy!

Questions?

Call our Customer Service Hotline toll-free at 800-221-5573, Monday—Thursday, 7 a.m. to 5 p.m., and Friday, 8 a.m. to 4:30 p.m.


Questions?

We’ll be happy to help. Please call Customer Service at: 800-332-6421 Monday—Friday 8 a.m.—4:30 p.m. Unable to call during business hours? Email large.group.inquiry@wpsic.com and receive a response to your inquiry within 72 business hours.

For questions regarding premium rates, please email April Roth-High at FocusrepApril@wpsic.com or Sharie Hoffland at FocusrepSharie@wpsic.com. You can also call April directly at 608-977-5743 or Sharie at 608-977-5741.

Medical Loss Ratio Rebates

What is a Medical Loss Ratio Rebate?

The Affordable Care Act requires WPS Health Insurance (WPS) to issue a rebate to our customers if we do not spend at least 80% of the premiums we receive on health care services, such as doctors and hospital bills, and activities to improve health care quality, such as efforts to improve patient safety. No more than 20% of premiums may be spent on administrative costs, such as salaries, sales, and advertising. This requirement is referred to as the “Medical Loss Ratio” standard or the “80/20 rule.” The 80/20 rule in the Affordable Care Act is intended to ensure consumers receive value for their health care dollars. Learn more about the 80/20 rule and other provisions of the health reform law.

What Does the Medical Loss Ratio (MLR) Rule Mean to You?

The MLR rule is calculated on a state-by-state basis. In Wisconsin, WPS did not meet the MLR standard for the Wisconsin Association of Independent Colleges and Universities (WAICU). In 2017, WPS spent 72.8% of a total of $942,721 in premium dollars on health care and activities to improve health care quality. Since it missed the 80% target by 7.2% of premiums it received, WPS must rebate 7.2% of WAICU members’ health insurance premiums. We are required to provide this rebate to customers by Sept. 30, 2018. Rebate checks will be mailed to customers during the month of September.

Need more information?

If you have any questions about the MLR and your health insurance coverage, please contact WPS toll-free at 888-915-5618, ext. 75743.

Is your doctor in your network?