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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
Plan PT14, pT22, pT30 and pT38

View Benefits Table
Plans Personal 145,235 and 325
Plans Partner 290, 470 and 650

WHA Direct
benefit & General Conditions

WHA Healthcare
Benefit & General Conditions

For our customers who are on WHA Healthcare Partner 290 and Partner 325 partner discontinued plans please view the benefits table below

View Benefits Table
Plans Partner 145 and Partner 325