| Number | Title Sort descending | Description | Audience |
|---|---|---|---|
| ET-2340 | Automatic Premium Conversion Waiver/Revocation of Waiver | Complete this form to waive your participation in automatic premium conversion, or to revoke a waiver of premium conversion that you filed previously. |
Active Employee, Local Employer, State Employer |
| Board Meeting Directions - 1st floor | Active Employee, Retiree, Other Benefit Recipient, Board Member, Local Employer, State Employer | ||
| ET-2311 | COBRA Continuation - Conversion Notice | Under federal law, known as COBRA, you and your qualified beneficiaries may continue group health insurance coverage, if eligible. |
Active Employee, Local Employer, 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-2166 | Domestic Partner Benefits | As of Sept. 23, 2017, the State of Wisconsin no longer allows the establishment of new domestic partnerships under Chapter 40 of the Wisconsin statutes. This brochure provides information about the benefit changes for established domestic partnerships. |
Active Employee, Retiree, Other Benefit Recipient, Board Member, Local Employer, State Employer |
| ET-8900 | Employee Reimbursement Accounts Fact Sheet | The Employee Reimbursement Accounts (ERA) Program is an optional benefit that allows participants to use pre-tax dollars to pay for certain Internal Revenue Service-approved expenses. |
Active Employee, Retiree, Local Employer, State Employer |
| ET-1908 | Employer Attestation For Documentation Received | Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF. |
Local Employer, State Employer |
| ET-8928 | ETF Online Access Security Agreement | Employers, complete this form for access to ETF systems. |
Local Employer, State Employer |
| ET-1518 | Flexible Spending Account Continuation Election Form | Employers must issue this notice to employees within 14 days of becoming aware of a qualifying event that will cause an employee to lose eligibility to participate in the FSA or limited purpose FSA program(s). |
State Employer |
| ET-4112 | Group Health Insurance | This brochure includes general information about health insurance through ETF. |
Active Employee, Retiree, Local Employer, State Employer |