Number Title Description Audience
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-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
24ET-1136 2024 State of Wisconsin Group Health Insurance Program Agreement

This 2024 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.

Local Employer, State Employer
24ET-2107 2024 Health Benefits Decision Guide: State of Wisconsin Group Health Insurance for Employees

2024 health benefits decision guide for state of Wisconsin employees.

Active Employee, 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
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-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-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-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
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