Vol. 17, No. 6
March 22, 2000
Change in Income Continuation Insurance Claim Process Dates
The Department of Employe Trust Funds will continue to accept Income
Continuation Insurance (ICI) claim forms using the current process
through May 2000. Employer Bulletin Vol. 17, No. 4 (February
16, 2000), provided information on the new ICI claims process and
advised that old claim forms (ET-5301 or ET-5310) should be destroyed
and only new forms would be accepted effective April 1, 2000.
The implementation deadline for the new ICI claim process has been
extended until June 1, 2000 to give you enough time to receive the
new ICI claim packets and begin using them. Once you receive your
supply of new ICI claim packets, please destroy the old claim forms
(ET-5301 or ET-5310). Beginning June 1, 2000 we will only accept
new claim forms.
For more information regarding this new process, please contact
United Wisconsin Insurance Company at their toll-free telephone
number: (800) 452-4250.