| Number | Title | Description | Audience |
|---|---|---|---|
| Lifestyle Benefits Summary | Active Employee, Retiree, Local Employer, State Employer | ||
| Accumulated Sick Leave Credit Transfer Between Wisconsin Retirement System Agencies | This chart is being provided based on information received by ETF from these employers. Employers and employees should communicate with each other about whether their sick leave may or may not transfer. |
State Employer | |
| 24ET-1136 | 2024 State of Wisconsin Group Health Insurance Program Agreement | This 2024 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program. |
Local Employer, State Employer |
| 24ET-2107 | 2024 Health Benefits Decision Guide: State of Wisconsin Group Health Insurance for Employees | 2024 health benefits decision guide for state of Wisconsin employees. |
Active Employee, State Employer |
| 24ET-2107upb | 2024 Uniform Pharmacy Benefits Certificate of Coverage | Uniform Pharmacy Benefits Certificate of Coverage for the 2024 plan year, for all program options. |
Active Employee, Retiree, Local Employer, State Employer |
| 24ET-2108 | 2024 Health Benefits Decision Guide: State of Wisconsin Group Health Insurance for Retirees | 2024 health benefits decision guide for state of Wisconsin retirees. |
Retiree, State Employer |
| 24ET-2170sb | 2024 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 |
| 24ET-2180 | 2024 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 |
| 24ET-4113 | 2024 Medicare Plus Certificate of Coverage | Certificate of Coverage for the Medicare Plus Plan for the 2024 plan year. |
Retiree, Local Employer, State Employer |
| 25ET-1136 | 2025 State of Wisconsin Group Health Insurance Program Agreement | This 2025 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program. |
Local Employer, State Employer |