Affordable Healthcare

Northwest Wisconsin CEP provides consumers and businesses with assistance with the Affordable Care Act and BadgerCare. CEP Navigators conduct public educational workshops and one-on-one enrollment assistance. To schedule an appointment with a navigator to discuss insurance options, please call your local CEP office or fill out the form below and someone will contact you.

Ashland CEP: 715-682-9141
Superior CEP: 715-392-6127
Spooner CEP: 715-635-2175
Park Falls CEP: 715-762-2477

Health Insurance Services Appointment Request

Services Provided by Northwest Wisconsin CEP | Office of Health Insurance Initiatives
Name of consumer needing assistance:*
Contact phone number:*
-
Can this number be reached by text message?
Postal (zip) code:
Nature of appointment:
If lost coverage, did this person lose health insurance coverage in the last 60 days?
Please provide the date insurance was lost, if available.
Is coverage needed for one person or family?
Who is the consumer's primary provider?
Describe who is filling out this form:
Comments:
By submitting this form, you are giving permission to be contacted by Northwest Wisconsin CEP to discuss health insurance options.