Wisconsin Health Insurance

Create Account

Individual Details

*First Name

*Last Name

*Phone Number

Account Credentials

*Email Address

*Confirm Email Address

Use email address as User ID

*User ID

*Password

*Confirm Password

Account Security

Almost done! Please pick three security questions and fill in the answers. The security questions will help us validate your account if you forget your password.

*First Security Question:

*Second Security Question:

*Third Security Question:

By giving your email address, you agree to allow us to contact you with information related to our health insurance plans, products, services, and/or educational information related to health care. However, it does not mean that all future communications will be electronic once the enrollment has been completed.

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