JIT KIT - South Dakota

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JIT KIT - South Dakota

Contracted brokers and agencies in South Dakota may use this online form to order digital Wellmark Benefits Enrollment Guides for newly enrolled and renewing groups. Once you have completed this online form, please submit it electronically to the appropriate Wellmark Service Representative. A submission form dialog box appears at the end of the form for this purpose.

Please note that this order form should be used by Wellmark's contracted brokers and agencies only. Sub-brokers are instructed to work through their contracted broker/agency when ordering digital Benefits Enrollment Guides for their groups.

JIT KIT Order Form

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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota. Blue Cross®, Blue Shield®, and the Cross® and Shield® symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.