WSBA Insurance Marketplace

WSBA Insurance Marketplace

Toggle menu

Skip to content
  • Home
  • Individual/Family Plans
    • Health Insurance
    • Dental / Vision Insurance
    • Telehealth
    • Long-Term Disability Insurance
    • Term Life Insurance
  • Plans For Businesses
  • Forms
  • News
  • Contact

Forms

Miscellaneous Payments & Billing

Download a printable Monthly Auto-Pay form (.pdf) »

Go to our online Monthly Auto-Pay form »

Go to our Coverage Cancellation form »

Recent Posts

  • 2022 Open Enrollment: Record-low Premiums Available December 6, 2021
  • 2022 Open Enrollment Period: Important Dates November 8, 2021

Search

Administered By

  • Home
  • Health Insurance
  • Dental / Vision Insurance
  • Telehealth
  • Long-Term Disability
  • Term Life
  • Employer Group Solutions
  • Forms
  • News
  • Contact
Products sold and serviced by Member Benefits, the administrator of the WSBA Insurance Marketplace. The Washington State Bar Association (WSBA) is not a licensed insurance entity and does not sell insurance.

Copyright © 2022 Member Benefits. All rights reserved.
Terms of Use | Privacy Policy