Frequently Asked Questions

Employers are required to notify all current employees of the availability of Health Insurance Exchanges by October 1, 2013, and to new hires at time of hire.  Employers must comply with this whether or not they currently offer a health plan. Forms are available for employers that offer a plan to all or a portion of their employees, and employers that do not offer a plan to their employees.

Download Health Insurance Exchange Notice forms in English and Spanish here.

Eligible health benefit plan enrollees may appeal claims that have been denied in whole or in part, or authorizations that have been disapproved.

Download Appeal Form

Appeal Process:

Please note that the following language applies to most WGAT health benefit plans, however, the language of your health benefit plan is controlling and applicable in the event of a conflict between your health benefit plan and these instructions.

Eligible health benefit plan enrollees may appeal claims that have been denied in whole or in part, or authorizations that have been disapproved. Appeals must be in writing and sent to Western Growers Assurance Trust (“WGAT”) at the following address:

WGAT Claims
P.O. Box 2220
Newport Beach, CA 92658-8952

Please complete in the entirety the WGAT Appeal Form. Importantly, in your appeal please provide the reason(s) you disagree with the denial of the claim.  Your written appeal must be filed within 180 days from the date the notice of denial was mailed to you as indicated on the postmarked envelope unless your health benefit plan states otherwise. For example, some plans require an appeal to be filed within 60 days from the date the notice of denial was mailed to you as indicated on the postmarked envelope. You may request copies of any documents created by this office regarding your denial and PCMI may make a reasonable charge for the copies.

Claims Payment Questions:
Email: customerservice@wga.com
Phone:  800-777-7898
Fax:  949-809-8938

Ordering a new ID card is easy using our convenient online tool, HealthView.

  1. Login to HEALTHVIEW
  2. Enter your member ID and suffix
  3. Enter Password
  4. Click Login
  5. Click on Request ID card
  6. Verify your address is correct
  7. Select Reason for New Card
  8. Click Request ID card
  9. You will receive your new ID card via mail within 5 to 10 working days

To order a temporary ID card:

  1. Login to HEALTHVIEW
  2. Enter your member ID and suffix
  3. Enter your Password
  4. Click Login
  5. Click on Request ID card
  6. Click on Generate Temporary ID Card
  7. A temporary ID card will be emailed to you in minutes!

You can reasch our Enrollment and Billing departments in several ways:

Email: Eligibility@wga.com

Phone#:(888) 464-8837

Fax#:(949) 809-8939

Mail:

Western Growers Assurance Trust
P.O. Box 2130
Newport Beach, CA  92658

Payments are due the 1st of the coverage month. Payments posted after the 20th of the covered month will be assessed a late fee.

Invoices may be paid using the following:

  1. Online Bill Pay
    Sign up for Online Bill Pay
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  2. Regular Payment Address:
    Western Growers Assurance Trust
    File 54914
    Los Angeles, CA  90012
     
  3. Overnight Payment Address:
    Western Growers Assurance Trust
    File 54914
    1000 W. Temple Street
    Los Angeles, CA  90012

Enrollment may be conveniently processed in one of two ways:

  1. Access WGAT’s Online Western Growers Employer Resource System (WERC); or
  2. Submit a completed Enrollment Card to Eligibility@wga.com.