19et2107up Brochure Active Employee / Retiree / Local Employer / State Employer IYC 2019 Certificate of Coverage Uniform Pharmacy Benefits Uniform Pharmacy Benefits Certificate of Coverage for the 2019 plan year.
23ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2023 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2023 plan year, for all program options.
23ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2023 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
23ET-4113 Brochure Retiree / Local Employer / State Employer 2023 Medicare Plus Certificate of Coverage Certificate of Coverage for the Medicare Plus Plan for the 2023 plan year.
23ET-2100cc Brochure Retiree 2023 Medicare Advantage Evidence of Coverage - Non-deductible This Evidences of Coverage provides details about Medicare health care coverage from January 1, 2023 - December 31, 2023.
23ET-2100ccd Brochure Retiree 2023 Medicare Advantage Evidence of Coverage - Deductible Medicare Advantage, with deductible, Evidence of Coverage for the 2023 plan year.
22ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2022 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2022 plan year, for all program options.
22ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2022 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
22ET-4113 Brochure Retiree / Local Employer / State Employer 2022 State of Wisconsin, WPE Group Health Insurance Program Certificate of Coverage (IYC Medicare Plus) Certificate of Coverage for the It's Your Choice Medicare Plus Plan for the 2022 plan year.
22ET-2100cc Brochure Retiree 2022 Medicare Advantage Evidence of Coverage - Non-deductible This Evidences of Coverage provides details about Medicare health care coverage from January 1, 2022 - December 31, 2022.