25ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2025 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.
24ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 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.
24ET-1136 Manual Local Employer / State Employer 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.
26ET-1136 Manual Local Employer / State Employer 2026 State of Wisconsin Group Health Insurance Program Agreement This 2026 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.
25ET-1136 Manual Local Employer / State Employer 2025 State of Wisconsin Group Health Insurance Program Agreement This 2025 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.
24ET-4113 Brochure Retiree / Local Employer / State Employer 2024 Medicare Plus Certificate of Coverage Certificate of Coverage for the Medicare Plus Plan for the 2024 plan year.
25ET-4113 Brochure Retiree / Local Employer / State Employer 2025 Medicare Plus Certificate of Coverage Certificate of Coverage for the Medicare Plus Plan for the 2025 plan year.
ET-1325 Form Local Employer Resolution for Inclusion Under the Wisconsin Public Employers’ Group Health Insurance Program-with a request to retain a second group health plan Resolution for employers to join the WPE Group Health Insurance Program with a request to retain a second group health plan.
25ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2025 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2025 plan year, for all program options.
24ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2024 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2024 plan year, for all program options.