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Employers

Wisconsin Retirement System

Income Continuation Insurance Administration Manual
(Local Government Employers)

ET-1145, Rev. 10/27/2016


The following chapters are in Adobe Acrobat PDF format.  To view, download or print these chapters, you will need the Acrobat Reader.  If you do not have Acrobat Reader installed on your system, you will need to install/download the free Acrobat Reader


TABLE OF CONTENTS

PREFACE (Revised 9/2015)

CHAPTER 1 -- GENERAL INFORMATION (Revised 6/2016)

  • 100 Introduction
  • 101 Program Features
  • 102 Employer Responsibilities
  • 103 Contracts
  • 104 Complaint Resolution
  • 105 ETF Ombudsperson Services
  • 106 Confidentiality of Records
  • 107 Ordering ICI Forms
  • 108 Internet Address

CHAPTER 2 -- ELIGIBILITY CRITERIA (Revised 6/2016)

  • 200 Eligibility of ICI Coverage
  • 201 Determining ICI Eligibility Date and Coverage Effective Date
  • 202 Eligibility Dates for New Hires Without Previous Service
  • 203 Rehired/Returning Employee Eligibility
  • 204 Interrupted Service/Leaves of Absence
  • 205 Compromise Agreements and Reinstatements
  • 206 WRS Previous Service Check

CHAPTER 3 -- ENROLLMENT AND APPLICATION (Revised 10/2016)

  • 300 Enrollment Opportunities
  • 301 Completion of ICI Application
  • 302 Distribution of Copies
  • 303 Application Due Date, Premiums and Effective Date of Coverage
  • 304 Instructions for Completing the Evidence of Insurability Application

CHAPTER 4 -- EMPLOYEE AND EMPLOYER PREMIUMS (Revised 1/2017)

  • 400 Basis for Premium Rates
  • 401 Calculating Employer Contributions and Employee Premium
  • 402 Annual Review and Premium Update

CHAPTER 5 -- MONTHLY PREMIUM REPORT (Revised 9/2015)

  • 500 Completing the Monthly Premium Report Group Income Continuation Insurance Form (ET-1629)
  • 501 Online Payment
  • 502 Due Date
  • 503 Late Reporting Interest Charge
  • 504 Permanent Change in Percentage of Appointment

CHAPTER 6 -- TERMINATION OF COVERAGE (Revised 9/2015)

  • 600 Termination of Coverage
  • 601 Lapse in Coverage
  • 602 Cancellation of Coverage
  • 603 Employer Withdrawal from the ICI Program

CHAPTER 7 -- BENEFITS (Revised 9/2015)

  • 700 Introduction
  • 701 Eligibility for ICI Benefits
  • 702 Determining Dates of the Elimination Period
  • 703 Earnings for Benefit Payment Purposes
  • 704 Benefit Payments
  • 705 Dates of Benefit Payment Checks
  • 706 Continuation of Benefit
  • 707 Maximum Duration of Benefits
  • 708 Offsets From Other Benefit Sources
  • 709 Reduction or Termination of Benefits
  • 710 Social Security Withholding on ICI Benefits
  • 711 Taxability of ICI Benefit

CHAPTER 8 -- CLAIM PROCESS (Revised 9/2015)

  • 800 Filing an ICI Claim
  • 801 Information Required From the Employer
  • 802 Third Party Administrator Claim Review
  • 803 Approval, Denial or Termination Notice
  • 804 Paying Premiums After the Date of Disability
  • 805 Waiver of Premium

CHAPTER 9 -- CLAIMANT CHANGE IN WORK STATUS (Revised 9/2015)

  • 900 Change in Work Status
  • 901 Reporting Offsets from Part-Time Employment and Workers' Compensation Temporary Benefits

CHAPTER 10 -- Reinstatement of Coverage Lost Due to Employer Error (Revised 9/2015)

  • 1000 Introduction
  • 1001 How to Correct an Employer Error
  • 1002 Errors Not Eligible for Correction
  • 1003 How to Avoid Employer Errors

 

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