| Number Sort ascending | Title | Description | Audience |
|---|---|---|---|
| ET-1516 | FSA/LPFSA/Transportation and Parking Remittance Report | Employers may remit contributions and report adjustments for employee FSA/LPFSA/transportation and parking costs. |
State Employer |
| ET-1313 | Designation of Agent | Employers, complete to designate an employee as the agent representing the employer in matters pertaining to the programs administered by the Department of Employee Trust Funds. |
Local Employer, State Employer |
| ET-1170 | Sick Leave Conversion Program Employer Manual | This manual is a reference source intended to aid employer administration of the Accumulated Sick Leave Credit Conversion Program. |
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-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 |
| 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 |
| 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-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-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-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 |