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Employers

Employer Bulletin

All Employers
Vol. 16, No. 17
November 18, 1999

Bulletin Contains Health Insurance Reporting Forms For 2000

The 2000 Health Insurance Additions, Deletions and Change Reports; Monthly Coverage Reports; and Summaries for the year 2000 are enclosed with this Employer Bulletin. We have also included mailing labels to use when remitting reports to the Department of Employe Trust Funds (ETF).

It is critical that you destroy any old health reporting forms and only use the updated versions of these forms. Also, please make sure you are using the most recent revision of the following forms:

  • Health Insurance Application (ET-2301), Rev. 3/98

  • Health Insurance Application (ET-2302), Rev. 4/98 (UW Grad Assistants only)

  • Health Insurance Information Change(ET-2329), Rev. 5/97

If you have any questions about the use of a particular form, please call our Employer Communication Center at (608) 264-7900. If you need additional reporting forms or applications, please contact the forms request line of the Supply and Mail Services Section at (608) 266-3302. You can also e-mail us for inquiries and forms on our Internet site at.

Important Reminder for Completing Health Insurance Applications and Corresponding Reports

It is extremely important that the monthly reporting forms are completed accurately and entirely. When you hire a new employe, the "Prospective Date of Coverage" entered on the Health Insurance Application must agree with the date entered on the Monthly Additions Report (ET-2610) in the "Effective Date" column.

When you complete the Monthly Deletions Report (ET-2612) for someone who is terminating employment, the "Event Date" should be the same day as the employe's termination date.

Submit January 2000 Health Insurance Reports as Early as Possible

The January 2000 Health Insurance Reports are due Monday, December 20, 1999. We would appreciate receiving your January 2000 reports as soon as possible given the volume of changes as a result of Dual-Choice.

2000 Dual-Choice Reporting Instructions

Dual-Choice transactions should be entered on the January 2000 Health Insurance Reports. You must submit two sets of Additions, Deletions, and Change Reports. One set will include Dual-Choice elections and the second set will include regular monthly transactions. Please be sure to write "DUAL CHOICE" on the Dual-Choice set and "REGULAR TRANSACTIONS" on the regular transaction set.

January 2000 Health Insurance Reports will include:

  1. Two copies of your Summary and the corresponding Monthly Coverage Reports.

  2. Two copies of the Additions, Deletions, and Change Report that reflect regular monthly transactions (titled "Regular Transactions").

  3. Two copies of the Additions, Deletions, and Changes Report that reflect Dual-Choice transactions (Enrollment Types 40 and 43 titled "Dual-Choice").

NOTE: Each entry on the Additions Report must indicate the suffix number of the previous plan (i.e., the employe's current plan). Do not substitute the name of the plan for the suffix.

Each entry on the Deletions Report must indicate the suffix number of the newly selected plan. Do not substitute the name of the plan for the plan suffix.

It is important that you follow these instructions because Dual-Choice statistics are used to track the movement of individuals between the participating plans and counties. The information is then used in the rate setting process for the Group Health Insurance Program. Deviations from these instructions must be pre-approved by submitting a written request and sample forms to:

Rick Parpart
Division of Employer Services
Employe Trust Funds
P. O. Box 7931
Madison, WI 53707-7931

Reminder: Assemble Health Insurance Reports Correctly for Best Service Possible

The start of a new year is a good time to review the proper way to assemble your monthly health insurance reports. Following these instructions will ensure the prompt and efficient processing of your reports by both ETF and the designated plans. Please assemble your reports in the following order (you will end up with two sets of reports in descending order):

  1. ETF Copies:
    1. Summary with a check (if paying by check) paper clipped to the front.
    2. Monthly Coverage Reports--these should be placed in the order that they appear on the Summary. Corresponding forms should be attached (stapled in the upper left corner) to the respective Coverage Report in the following order:
      1. Additions Report
      2. Deletions Report
      3. Changes Report
  2. Carrier Copies:
    1. Make a photocopy of the Summary and staple your check stub, WiSMART document or a photocopy of the check to the back of the photocopied Summary.
    2. Monthly Coverage Reports – these should be placed in the same order as they appear on the Summary. Corresponding forms should be attached (stapled in the upper left-hand corner) to the respective Coverage Report in the following order:
    3. Health Applications and Transfer Reports – placed in the order they appear on the Additions Report.
    4. Additions Report.
    5. Transfers and/or Cancellation Reports as listed on the Deletions Report.
    6. Deletions Report.
    7. Health Applications related to the Changes Report.
    8. Changes Report.

Mail both sets of reports to:

Division of Employer Services
Department of Employe Trust Funds
PO box 7931
Madison WI 53707-7931

For questions about the proper way to assemble your monthly health insurance reports, call our Employer Communication Center at (608) 264-7900.

Late Dual-Choice Applications

If you received any late 2000 Dual-Choice Applications, follow the instructions in Subchapter 406 of the Health Insurance Employer Administration Manual (ET-1118 Revised 1/97 for state agencies; ET-1144 Revised 6/97 for local employers). Please forward the application, the letter from the employe and your memo to Mary Hensen, Department of Employe Trust Funds, P.O. Box 7931, Madison, WI 53707-7931 no later than December 15, 1999.

 

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