Number Title Description Audience
Accessing Your Health Benefits While Out of State

This document for State, UW and Local retirees describes the health plans that offer out-of-state coverage for routine care and what to expect while you're out of network.

Active Employee, Retiree, Local Employer, State Employer
State of Wisconsin - Election of Continued Vision Coverage

This form is for members leaving state service who want to maintain their supplemental vision coverage as a continuant.

Active Employee, State Employer
Securian Accident Plan Portability Form

Form that allows employees to keep Securian Accident Plan coverage in retirement.

State Employer
Group Insurance Board Letter (5-26-17) to Joint Committee on Finance Active Employee, Retiree, Board Member, Local Employer, State Employer
Vision Plan Application State of Wisconsin Retiree/Annuitant

State of Wisconsin retirees or people receiving their annuity payments use this form to apply for the VSP vision plan.

Retiree, State Employer
Hill Farms 1st Meeting Rooms-Map Only

A map of the first floor of the Hill Farms building labeled with room numbers and an arrow to the main entrance lobby.

Active Employee, Retiree, Other Benefit Recipient, Board Member, Local Employer, State Employer
Group Insurance Board Letter (5-8-17) to Joint Committee on Finance Active Employee, Retiree, Board Member, Local Employer, State Employer
Board Meeting Directions - 1st floor Active Employee, Retiree, Other Benefit Recipient, Board Member, Local Employer, State Employer
Act 20 Health Insurance Feasibility Study: Spousal Exclusion and Employee Opt Out

Wisconsin Act 20 actuarial study analyzing the feasibility of excluding from state employee health insurance coverage a spouse or domestic partner who has health insurance coverage available through his or her employer. It also evaluates the creation of an incentive payment program for state employees who opt not to take state health insurance coverage. June 30, 2014.

Active Employee, Retiree, Other Benefit Recipient, Board Member, Local Employer, State Employer
19ET-1136 2019 State of Wisconsin Group Health Insurance Program Agreement

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

Local Employer, State Employer