Number Title Description Audience
25ET-2107sbs 2025 Schedule of Benefits: IYC Health SMP (PO1/PO6/16/PO8)

The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.

Active Employee, Retiree, Local Employer, State Employer
25ET-2107upb 2025 Uniform Pharmacy Benefits Certificate of Coverage

Uniform Pharmacy Benefits Certificate of Coverage for the 2025 plan year, for all program options.

 Active Employee, Retiree, Local Employer, State Employer
25ET-2108 2025 Insurance Benefits Decision Guide: State of Wisconsin Group Health Insurance for Retirees

2025 insurance benefits decision guide for state of Wisconsin retirees.

 Retiree, State Employer
25ET-2170sb 2025 Schedule of Benefits: Access High Deductible Health Plan (HDHP) (PO1, PO7/17)

The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.

Active Employee, Retiree, Local Employer, State Employer
25ET-2180 2025 Uniform Benefits Certificate of Coverage

This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

 Active Employee, Retiree, Other Benefit Recipient, Local Employer, State Employer
25ET-4113 2025 Medicare Plus Certificate of Coverage

Certificate of Coverage for the Medicare Plus Plan for the 2025 plan year.

 Retiree, Local Employer, State Employer
26ET-1136 2026 State of Wisconsin Group Health Insurance Program Agreement

This 2026 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.

 Local Employer, State Employer
ET-1111 Employer Insurance Administration System (IAS) Procedures

For UWs only: These procedures will walk employers through steps to take in My Insurance Benefits.

 Local Employer, State Employer
ET-1113 Employer Transaction Application Guide

The UW will have access to the Employer Transaction Application (ETA) user interface to update employee demographic and eligibility information, new employee enrollments, and employee terminations.

 Local Employer, State Employer
ET-1118 State Agency Health Insurance Standards, Guidelines and Administration Employer Manual

This manual is a reference source intended to aid employer administration of and participation in the State of Wisconsin Group Health Insurance Program.

 State Employer