| Number | Title | Description | Audience |
|---|---|---|---|
| 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 |
| 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 |
| ET-2164 | Group Life Insurance Plan Monthly Rates | Monthly rates for the Wisconsin Public Employers Group Life Insurance Plan. |
Active Employee, 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-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-2301 | Health Insurance Application/Change Form | Enroll in health insurance or change your coverage. |
Active Employee, Local Employer, State Employer |
| ET-2304 | Life Insurance Application/Cancellation/Refusal | Enroll in, cancel or decline group life insurance coverage. |
Active Employee, Local Employer, State Employer |
| ET-2305 | Evidence of Insurability | Employees who did not enroll for group life insurance coverage during their initial enrollment period, or insured employees who wish to apply for more insurance for themselves or their spouse or dependents, may apply using this form. |
Active Employee, Local Employer, State Employer |
| ET-2306 | Conversion Information - Life Insurance | If any portion of your group life insurance coverage terminates, you may be able to continue your life insurance protection. Your right to do this is called a conversion privilege, and its features are described here. |
Active Employee, Local Employer, State Employer |
| ET-2307 | Income Continuation Insurance Application - State | Complete and then submit to your employer to apply for income continuation insurance. |
Active Employee, Local Employer, State Employer |