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Employer Bulletin

All State Agencies
Vol. 22, State D
June 24, 2005

Revised Wisconsin Public Employer Group Life Insurance Plan Booklet

The Wisconsin Public Employers Group Life Insurance brochure (ET-2101) has been updated. Minor changes to the language clarify current policy. The revised booklet includes the following policy changes:

  • Changes to the Accidental Death and Dismemberment (AD&D) limitations and requirements (Sections 6B and 6C) reflect new contract language approved by the Group Insurance Board (GIB). In addition, the GIB strengthened the AD&D subsequent loss language (Section 6A) to clarify that only one AD&D claim payment will be made for each loss or loss of use of the same limb.
  • Revisions to the Living Benefits provisions (Section 8) eliminate benefits that are payable to the chronically ill under the confinement or hospice options. The Living Benefits coverage is available only to employees diagnosed with a terminal condition with a life expectancy of 12 months or less. The GIB approved this change to ensure that the Living Benefits provisions comply with the Health Insurance Portability and Accountability Act (HIPAA).
  • New language clarifies that employees may continue coverage while on military leave (Section 9A.)

Please order a supply of new brochures and distribute them to all insured employees. You can request a supply by any of the following methods:

  • Contact ETF Supply and Mail Services, (608) 266-3302.
  • Complete the attached form and mail or fax to:

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

  • Use the on-line order form through our Internet site at Please be sure to enter all requested information, especially your Employer Identification Number (EIN).

Please discard any life insurance brochures with a revision date prior to 05/2005 after receiving the new brochures.

Employers with questions about the revised life insurance booklet should contact ETF’s Employer Communication Center at (608) 264-7900.


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