Results for Downloads

Request Proof of Health Care Coverage

To verify proof of health care coverage for you or your dependents, follow the process through EmployeeConnect. Download the instructions here.

2019-2020 StayWell Health Care Provider Forms

Download the Health Care Provider Form on and take it to your health care provider when you get your annual physical exam at any time during the year. Onsite screenings will be held at certain locations this Sept. and Oct. The home test kit will no longer be a Health Screening option in 2020.

2020 Health Screening Appeal Form

If you do not meet one or more of the healthy targets, your health care provider can complete and sign an appeal form. You can access the 2020 Appeal Form at

2020 Take Action Mailer

Download the 2020 Take Action mailer for information about the different options for completing your Take Action activities.

2019 Health Screening Mailer

Download the 2019 health screening mailer to remind yourself how the screening worked last year based on your work location.

Health Management Archive

Looking for downloads from last year? Visit the Health Management Program download archive.