ETF has updated the Local Employer Health Insurance Standards, Guidelines, and Administration Employer Manual (ET-1144). Please disregard any previous versions of this manual.
| Location in Manual | Summary of Change |
|---|---|
| 209, 1301F 4 | Updates name of Navitus' plan for retirees to be the "Medicare Pharmacy Part D" plan. |
| 302C (new) | Adds to Chapter 3 language from 1601, that newly participating employers with a surcharge must agree to continue participation in the Wisconsin Public Employers Program for a minimum of three years. |
| 501B | Clarifies language that employees may newly enroll within 30 days of the date the employer contributes to the premium. |
| 502C | Clarifies that ETF will permit a subscriber to drop a spouse if the spouse lives and works out-of-state and has other coverage through employment that results in claims issues with the Group Health Insurance Program (typically HDHP with HSA). Documentation required. |
| 603B | Updates that effective 1/1/2024, for retirees who wish to change health plans when they or a dependent gains Medicare, or when an employee or their dependent gains Medicare while the employee retires and wants to change plans, the effective date will be the first of the month following ETF's receipt of an application, or the date they enroll in BenefitPlace. |
| 607J (new) | Clarifies documentation requirements for a custody change when a subscriber requests to remove a dependent. |
| 701E | Corrects application instructions to inform employees to check the "Annual health benefits enrollment" box on the application, not the "It's Your Choice" box. |
| 903, 1101C (removed) 1700 | Corrects references regarding locals with 20 years of services but without an immediate annuity. They are not eligible to continue their insurance termination, except for COBRA continuation. |
| 130G | Clarifies instructions regarding Medicare Data Match (collection) inquiries from the U.S. Department of Treasury. The employer should make sure the health plan's Coordination of Benefits (COB) person is working the case as priority; the employer may not need to send a letter to Treasury. |
| Appendix B 6) | Updates the Health Plan/Carrier Code table for 2024. |
If you have any employer related questions regarding the group health insurance program, please contact Employer Communication Center at ETFSMBEmployerInsurance@etf.wi.gov or 1-877-533-5020.