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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2016 State of Wisconsin Group Health Insurance Program
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Wisconsin Department Of Employee Trust Funds

It's Your Choice 2016

State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)

Opt Out of Uniform Dental Benefits

Beginning January 1, 2016, you can choose your health insurance, with or without Uniform Dental Benefits.

If you are currently enrolled in a health plan, you will be automatically enrolled in Uniform Dental Benefits and can choose to opt out during the It’s Your Choice open enrollment period. New employees choose health insurance, with or without dental, during the application process.

Opt out of Uniform Dental Benefits by filing a Group Health Insurance Application/Change Form (ET-2301). You can make a change in myETF Benefits*, or complete a paper application and submit it to your benefits office if you are an employee, or to ETF if you are a retiree. See more on how to opt out of dental on the paper for or myETF Benefits.

If you do not opt out during It’s Your Choice open enrollment (October 5-30) you will have Uniform Dental Benefits in 2016. Check your contribution rates for the cost difference between medical benefits with and without Uniform Dental Benefits.

Opt out of medical benefits.



Enroll or Make Changes:
myETF Benefits provides employees (except UW*) the ability to submit changes to their current coverage including address/name changes, new enrollments, and qualifying event changes to their existing coverage online.


*UW System and UW Hospital and Clinics employees: Do not use the myETF Benefits system to enroll in or make changes to coverage. UW System employees should go to and contact your UW institution human resources department for enrollment instructions. UW Hospital and Clinics employees must complete a paper application and submit it to your human resources/benefits office.

Every effort has been made to ensure that this information is accurate, but may be subject to change. Please note revision dates located at the bottom of each page. In the event of conflicting information, federal law, state statute, state health contracts and/or policies and provisions established by the State of Wisconsin Group Insurance Board shall be followed.

This page was last modified on: 10/2/2015 3:15:24 PM