Number Title Description Audience
Supplemental Dental Retiree/Continuant Change Form 2020

This is a form a retiree/continuant would use if there is a change in their Delta dental supplemental coverage because of a life event.

Local Employer, State Employer
ET-1158 State of Wisconsin Supplemental Benefit Plans Administration Manual

Supplemental Benefit Plans are types of insurance that are generally supplementary to group health insurance, providing coverage for dental, vision, accidental injury, or accidental death and voluntary for eligible employees and retirees.

Local Employer, State Employer
ET-8948 Uniform Dental Benefit Fact Sheet

The Uniform Dental Benefit (UDB) is intended to provide dental coverage for preventive, basic and diagnostic services.

Active Employee, Retiree, Local Employer, State Employer