WMI Forms & Updates
Please submit all forms upon completion to our office at
Glacier Insurance Strategies
2602 Hwy 2 East  Kalispell, MT 59901
Ph: 406-257-7680 Fax: 406-257-7685
Currently Insured with WMI Mutual Insurance Co. and need Additional Forms?
A Newly Eligible Employee wanting to come onto the existing plan must complete the following:  
Enrollment Form
Employee Changes

Change in Status
Use this form if an employee wants to change his/her name, remove or add
dependents to existing coverage or make changes to a beneficiary.   In order to
add dependents to an employee's health coverage after enrollment there must
be a qualifying event.  Marriage, birth, adoption, or loss of coverage elsewhere
are all examples of qualifying events.  Any changes must be submitted to GIS
within 30 days of said event.
Claims Forms

                                     Use this form if WMI has requested accident information regarding a claim.



                                                 Use this form to let WMI know if you or any of your dependents are
                                                currently covered under any other health insurance policy in addition to
                                                 your coverage with WMI Mutual Insurance Co.
Accident Form
Coordination of Benefits