Number | Title Sort ascending | Description | Audience |
---|---|---|---|
ET-2167 | myETF Benefits Quick Start Guide | myETF Benefits provides online tools to enroll and manage your health insurance benefits. |
Active Employee, Local Employer, State Employer |
ET-2314a | Model COBRA Subsidy Notice | This is the Model Notice for COBRA Continuation Subsidy under the American Rescue Plan [ARP] Act of 2021. Employers please note that information for qualified beneficiaries must be completed. |
Local Employer, State Employer |
ET-9019 | Local Annuitant Health Program Fact Sheet | LAHP is a program that provides group health insurance for retirees whose group health insurance with their former employer does not meet their needs or is not permanently available after retirement. |
Active Employee, Retiree, Local Employer, State Employer |
23ET-2108 | It's Your Choice 2023 Decision Guide: State of Wisconsin Group Health Insurance for Retirees | 2023 health benefits decision guide for state of Wisconsin retirees. |
Retiree, State Employer |
23ET-2107 | It's Your Choice 2023 Decision Guide: State of Wisconsin Group Health Insurance for Employees | 2023 health benefits decision guide for state of Wisconsin employees. |
Active Employee, 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 | |
ET-1728 | Health Plan and Vendor Contacts for Employer Use | Listing of health plan and vendor contacts for employer use only. |
Local Employer, State Employer |
ET-2301 | Health Insurance Application/Change Form | Enroll in health insurance or change your coverage. |
Active Employee, Local Employer, State Employer |
Health Care Provider Form | Complete this form using results from your most recent health care provider visit to earn credit for the 2021 Well Wisconsin Program. The form must be submitted by October 8, 2021. |
Active Employee, Local Employer, State Employer | |
ET-2154 | Group Life Insurance Continuation Application | This application is intended for insured employees who are terminating Wisconsin Retirement System employment, who may qualify to continue life insurance coverage, and who will not begin a WRS retirement benefit immediately. |
Active Employee, Local Employer, State Employer |