During Open Enrollment

Changes in coverage become effective January 1, 2019.

Health Insurance & Uniform Dental

Complete a Health Insurance Application/Change For Retirees & COBRA Continuants (ET-2331) form or log in to myETF.wi.gov. myETF.wi.gov is available for currently enrolled retirees only.

Contact ETF with questions.

Supplemental Benefits

Dental

You have two ways to enroll:

  1. Complete the State of Wisconsin- ETF Supplemental Dental Open Enrollment Form and mail the completed form to Delta Dental at the address on the bottom of the form.
  2. Enroll online.
Vision

You have two ways to enroll:

  1. Call VSP at 1-800-400-4569
  2. Complete and mail back the forms you received from VSP in the mail.
Health Savings Account

For HDHP enrolled participants only


When you Experience a Life Change Event

You can enroll or make changes to your benefits if you have had a qualifying life event.

For changes to:

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