Life Insurance Employer Forms

Use the following forms to administer the Group Life Insurance program. If you are not finding what you need, go to the Employer Forms, Brochures, and Publications page to search through all publications.

Use the keyword filter to search and narrow down the table by form name or ET number.

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ET-Number	Form Name
ET-7406	Authorization to Disclose Non-Medical Individual Personal Information
ET-2320	Beneficiary Designation
ET-4620	Employee/Employer Certification Annuitant Continuant Coverage--Private Pension Fund
ET-2305	Evidence of Insurability
ET-2154	Group Life Insurance Continuation Application
ET-2304	Life Insurance Application/Cancellation/Refusal
	Lifestyle Benefits Summary
	Wisconsin Public Employers Group Life Insurance Policy
ET-2101	The Wisconsin Public Employers Group Life Insurance Program
ET-6301	Notice of Death
ET-6303	Notice of Death for Spouse or Dependent Child
ET-5306	Request for Disability Premium Waiver