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To submit your claim, please download and print your claim form here today.

WHA Direct Plan Claim Form

WHA Healthcare Plan Claim Form

View Benefits Table
plans PL7, pL11, pL15,PL19

View Benefits Table
Plans PL145,PL235, PL325

For our customers who are on WHA Healthcare PT290 and PL325 partner discontinued plans please view the benefits table below

View Benefits Table
Plans PT290 and PL325