Employer Bulletin

State Agencies and Local Health Employers
Vol. 19, No. 18
October 18, 2002

Updated Plan Address/Phone/Fax Number and List for Sending Health Insurance Applications to the Plan

Attached to this Bulletin is an updated 2002-2003 Plan Address/Phone/Fax Number List for employers to use to send Health Insurance Applications to the Plans. Please use these addresses rather than those listed on the inside back cover of the 2003 It's Your Choice booklet.

If you have any questions please contact the Employer Communication Center at (608) 264-7900.

Corrections/Additions to 2003 It's Your Choice Booklets

Please note the following changes in the map and rate pages in the It's Your Choice booklet for State of Wisconsin employees, graduate assistants, and annuitants.

• Valley Health Plan appears as a non-qualified plan in the maps in Barron, Dunn and Eau Claire counties and should appear as qualified.
• Valley Health Plan appears as a non-qualified plan in the rate tables for Barron and Dunn counties and should appear as qualified.
• Please note the following change on the map page in the It's Your Choice booklet for Wisconsin Public Employees (local employers).
• Valley Health Plan appears as a non-qualified plan on the map in Barron and Dunn counties and should appear as a qualified plan.

The above changes do not affect the employee/employer share in any county and the rate tables and maps that appear on the ETF web site are correct.

• Please note that Compcare North is a non-qualified plan in Waupaca County.

State premium:

Single $ 425.90

Employee share $ 53.57

Employer share $ 372.33

Family $1,057.40

Employee share $ 134.24

Employer share $ 923.16

Local premium:

Single $ 395.20

Minimum employee share $ 24.97

Maximum employer share $ 370.23

Family $ 983.70

Minimum employee share $ 62.64

Maximum employer share $ 921.06

• The 2003 It's Your Choice booklets for State of Wisconsin Employees and University of Wisconsin Graduate Assistants erroneously include Plan Description Pages for Medicare Plus $100,000; this plan is not available to active employees.
• Please note: the Valley Health Plan benefit description page, dental coverage section, erroneously states benefits are available only for children 11 and under. The correct dental benefit is one exam (exam, prophylaxis/cleaning, bitewing X-rays) per calendar year for all members and for children 14 years and under, coverage for fluoride treatment and sealants. (Page G-43 in the State of Wisconsin Employees booklet, the Annuitants/Continuants booklet, and the University of Wisconsin Graduate Assistants booklet; page G-41 in the Local Government Booklet.)