Health Insurance - Contact Information
- How and when does an eligible employee get their Pharmacy
Benefit Manager (PBM) card? There have been instances when employees
have not received their cards timely.
Submission of the advance carrier ply of the Health Insurance
Application/Change Form (ET-2301) is meant to expedite insurance
processing and the issuance of insurance and pharmacy benefit
cards. If there is an unreasonable delay in receipt of an employee's
cards, contact the health plan (for health insurance card) or
the PBM and cards will be issued as soon as possible. If you encounter
additional delays, feel free to contact ETF.
- Occasionally employees inform us that they have problems
getting in touch with their plans regarding claims, etc. The employees
then contact us, the employer, but the plans are limited by HIPPA
regulations in what they can discuss with us. It is also very
difficult and time consuming navigating through the plans' automated
voice systems. What can employers do in these situations?
Contact ETF whenever you have difficulty dealing with the health
- Who should employees contact regarding coverage issues?
Employees should always contact their plan initially. If they
don't get satisfaction after contacting the plan they can then
- How does an employer's WRS agent designate a health
insurance representative so ETF will contact them directly rather
than the Agent when health insurance related issues arise?
The Designation of Agent form (ET-1313), has a section for
designating insurance contacts for the employer. ETF will then
contact that person when there are health insurance related
questions. However, all ETF mailings are sent to the designated
- Do employers get a report of dependents that are coming
off their employees' insurance following resolution of the student
Yes, the findings of the student status survey are sent to
- Does an employer typically have just one WRS Agent or
can they have multiple agents?
Each employer has just one designated WRS Agent but can assign
representatives or contacts for specific insurance programs.
Employers may also designate an alternate agent.
- When an employer changes Health program options do they
have the responsibility to notify annuitants, continuants, etc.?
Yes, when an option change occurs, ETF provides the employer
with a list of all covered employees, continuants, annuitants,
etc. The employer must locate and notify them of the program