Employer Bulletin

WRS Local Health Employers
Vol. 22, Local K
August 17, 2005

Local Health Insurance Administration Manual Revised

This bulletin accompanies your copy of the revised Local Health Insurance Administration Manual (ET-1144, rev. 07/2005). Materials and subchapters have been renumbered and new chapters and subchapters added. The manual contains revisions and clarifications previously published in Employer Bulletins as well as clarifications suggested by Department of Employee Trust Funds (ETF) staff and Wisconsin Retirement System employers participating in the Wisconsin Public Employers Health Insurance program.

The Local Health Insurance Administration Manual includes updated versions of the Group Health Insurance Application (ET-2301) and Health Insurance Information Change form (ET-2329), which will be available for distribution in the near future. ETF anticipates both forms will be printed within the next four weeks and will notify you, via an upcoming Employer Bulletin, of their availability and explain substantive changes to the forms.

NOTE: Additional revisions were made to the Group Health Insurance Application and the Health Insurance Information Change form after printing the revised manual. Please insert the attached pages, reflecting the updated forms, their corresponding instructions, and other changes into the accompanying copy of the Local Health Insurance Administration Manual. The revised pages are:

• Chapter 3, pages 5/6, 7/8, 9/10
• Chapter 4, pages 7/8
• Chapter 5, pages 19/20, 21/22, 24/24
• Chapter 6, pages 9/10, 11/12, 13/14

We encourage you to visit our Internet site, http://etf.wi.gov, to view and print any or all chapters of the Local Health Insurance Administration Manual. Additional paper copies of the manual may be ordered by following the instructions found in Subchapter 109 of the manual.

Please consult the Local Health Insurance Administration Manual as a first-step resource when program questions or concerns arise. Should questions or issues relating to program administration remain after consulting the manual, contact the Employer Communication Center. Comments on this edition and/or suggestions for the next edition can also be directed to the Employer Communication Center.

ETF does not discriminate on the basis of disability in the provision of programs, services, or employment. If you need this printed material interpreted, published in a different form, or if you need assistance in using our services, please contact the Employer Communication Center at (608) 264-7900 or TTY (608) 267-0676.