Number Title Sort descending Description Audience
ET-8902 Group Health Insurance Fact Sheet

The group health insurance program is an employer-sponsored program offering group health coverage to employees of state agencies, UW System, UW Hospital & Clinics Authority and participating local government employers.

Active Employee, Retiree, Local Employer, State Employer
ET-2155 Group Health Insurance Program Continuation Application

For State Employees With 20 Years of WRS-Creditable Service. Employers, complete your sections and then give the form to the employee.

State Employer
Group Insurance Board Letter (5-26-17) to Joint Committee on Finance Active Employee, Retiree, Board Member, Local Employer, State Employer
Group Insurance Board Letter (5-8-17) to Joint Committee on Finance Active Employee, Retiree, Board Member, 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
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-2301 Health Insurance Application/Change Form

Enroll in health insurance or change your coverage.

Active Employee, 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
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
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