Employer Bulletin

Wisconsin State Agencies and Local Health Employers
Vol. 22, No. 15
August 16, 2005

Important Reminder: Revisions to Continuation-Conversion Notice (ET-2311)

In June 2005, the Department of Employee Trust Funds (ETF) provided an Employer Bulletin* outlining the U.S. Department of Labor’s (DOL) final rules setting minimum standards for the timing and content of the notices required under the continuation coverage provisions of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA see Employer Bulletin, Vol. 22, No. 10, June 21, 2005.)

ETF recently revised the Continuation - Conversion Notice (ET-2311) to comply with the COBRA Final Rules and included a copy with Employer Bulletin, Vol. 22, No. 10. We remind you that in order to comply with the new regulations, the revised Continuation - Conversion Notice must be used in lieu of any notice with prior revision dates. For your reference, included is an additional copy and we ask that you please discard any Continuation - Conversion Notices with a revision date prior to 04/2005.

NOTE: Beginning November 1, 2005, ETF will reject any Continuation - Conversion Notice received with a revision date prior to 04/2005.
You may request a supply of the revised notice by one of the following methods:

• Use the on-line order form through our Internet site at http://etf.wi.gov. Please enter all requested information, especially your Employer Identification Number (EIN).
• Contact ETF’s Supply and Mail Services, (608) 266-3302.
• Complete the attached form and mail or fax it to:

  ETF Supply and Mail Services
  P.O. Box 7931
  Madison, WI
  53707-7931
  Fax: (608) 267-4549

The COBRA Final Rules are available on the DOL Internet site, www.dol.gov