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 |