ETF has updated the State Health Insurance Standards, Guidelines, and Administration Employer Manual (ET-1118), 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 |
|---|---|
| Added language for It's Your Choice decision guide access on ETF website | 102(A)(3) |
| Updated formatting and added information for It's Your Choice decision guide | Multiple |
| Added guidance for website availability of the Group Health Insurance Application/Change Form (ET-2301) | Multiple |
| Added paragraph explaining graduate assistant eligibility. Updated formatting | 212(F) |
| Note added explaining that COBRA must be offered to employees who elect insurance coverage, but terminate before completing 30 days of service | 301(A)(7)(h) |
| Added duty disability reference pointing to another part of the manual | 301(B)(1) |
| Added information about Social Security numbers, Individual Taxpayer Identification Numbers, or employer affidavit being required |
401(A) 506 |
| Added paragraph explaining coverage during custody transfer | 403(A)(2)(e) |
| Added clarification that annuitants and continuants without employer contributions towards premiums shall submit their own applications to ETF | 501(B) |
| Updated language specifying that annuitants who obtain Medicare A and/or B may change health plans | 503 |
| Added information about why employee must provide certain information to employer and ETF | 504 |
| Removed repetitive language regarding annuitants changing coverage from/to either single and family | 504(A) |
| Updated language for employees with less than half-time status who receive additional employer premium contribution becoming eligible to change to family coverage within 30 days following the employer premium increase | 504(A)(12) |
| Added clarifying language about involuntary loss of other coverage or complete loss of employer contribution | 506(C) |
| Added language providing example of dependent child obtaining other coverage through their spouse | 507(F) |
| Added language noting that when both spouses are employed by the state, UW, or one or both are annuitants, and they have premiums paid post-tax, they can change family policy to two single plans at any time | 508 |
| Added language specifying that members with duty disability are not eligible to newly enroll during open enrollment | 601(C)(3)(b) |
| Standard plan name corrected to Access plan | 801(D-E) |
| Added language clarifying content of chart for termination scenarios | 802 |
| Added language clarifying that Employers do not need to provide Group Health Insurance Application/Change for Retirees & COBRA Continuants (ET-2311) for survivors' coverage | 902(B-C) |
| Added guidance for location availability of the Group Health Insurance Application/Change for Retirees & COBRA Continuants (ET-2331) | 1001(B) |