Results for Downloads

Request Proof of Health Care Coverage

To verify proof of health care coverage for you or your dependents, follow the process through Your Benefits™.

Health Care Provider Form

Visit members.virginpulse.com  to download the Health Care Provider Form. New members can visit join.virginpulse.com/RockwellAutomation to get started. If you have questions, call OnTrack by Virgin Pulse at 1.888.671.9395, Monday – Friday, 7:30 a.m. – 7 p.m. Central Time.

Health Management Program PDF

Download the 2022 Health Management Program PDF for information about how to complete a health screening and Take Action activities.