ETF has updated the Local Employer Health Insurance Standards, Guidelines, and Administration Manual (ET-1144) and has summarized the changes in the table below. Please disregard any previous versions of this manual.
If you have any employer-related questions regarding the group health insurance program, please contact the Employer Communication Center at ETFSMBEmployerInsurance@etf.wi.gov or 1-877-533-5020.
| Summary of Change | Location in Manual |
|---|---|
| Revised language for the employer agent's role in acting upon ETF E-mail Updates | 102(A)(1) |
| Updated formatting and added information for the It's Your Choice decision guide | Multiple |
| Added language for employers to submit documents via Box | 106(A) |
| Note added explaining that COBRA must be offered to employees who elect insurance coverage, but terminate before completing 30 days of service | 401(A) |
| Added guidance for website availability of the Group Health Insurance Application/Change Form (ET-2301) | Multiple |
| Added information about Social Security numbers, Individual Taxpayer Identification Numbers, or employer affidavit being required | Multiple |
| Clarified language of divorce causing loss of coverage that qualifies employees for enrollment | 503(A)(1) |
| Added language that for custody transfers, coverage becomes effective within 30 days of event date | 503(A)(2) |
| Added information about why employee must provide certain information to employer and ETF | 604 |
| Updated language for employees who receive additional employer premium contribution being eligible to change to family coverage within 30 days following the employer premium increase | 604(A)(12) |
| Added language explaining that new coverage becomes effective the first of the month after a member's application is received for members switching to single coverage from family after their dependents enroll in other coverage | 605 |
| Added clarifying language for dependents that involuntarily lose coverage being added to member's coverage | 606(C) |
| Added language offering example of dependent child obtaining other coverage through their spouse | 607(F) |
| Added language specifying that members with duty disability are not eligible to newly enroll during open enrollment | 701(C)(3) |
| Adds language clarifying that refunds shall be made at the end of the month that members terminate employment | 901(B) |
| Standard plan name corrected to Access plan | 901(E) |
| Added clarification about coverage during leave of absence | 904 |
| Added language clarifying that employers do not need to provide Group Health Insurance Application/Change for Retirees & COBRA Continuants (ET-2311) for survivors' coverage | 1002(B-C) |