| Number | Title Sort descending | Description | Audience |
|---|---|---|---|
| ET-2331 | Health Insurance Application/Change for Retirees | Retirees, enroll in health insurance or change your coverage. |
Retiree, Other Benefit Recipient, Local Employer, State Employer |
| 2020 IYC Guides to Employer Counts | This document is a reference for employers to see their orders for 2020 IYC health benefits guides. |
Local Employer, State Employer | |
| 2021 IYC Guides to Employer Counts | This document is a reference for employers to see their orders for 2021 IYC health benefits guides. |
Local Employer, State Employer | |
| 2022 IYC Guides to Employer Counts | This document is a reference for employers to see their orders for 2022 IYC health benefits guides. |
Local Employer, State Employer | |
| 2023 Health Benefits Guides to Employer Counts | This document is a reference for employers to see their orders for 2023 health benefits guides. |
Local Employer, State Employer | |
| 23ET-4113 | 2023 Medicare Plus Certificate of Coverage | Certificate of Coverage for the Medicare Plus Plan for the 2023 plan year. |
Retiree, Local Employer, State Employer |
| 23ET-2170sb | 2023 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 |
| 23ET-1136 | 2023 State of Wisconsin Group Health Insurance Program Agreement | This 2023 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program. |
Local Employer, State Employer |
| 23ET-2180 | 2023 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 |
| 23ET-2107upb | 2023 Uniform Pharmacy Benefits Certificate of Coverage | Uniform Pharmacy Benefits Certificate of Coverage for the 2023 plan year, for all program options. |
Active Employee, Retiree, Local Employer, State Employer |