You may be able to convert your Basic group life insurance coverage to pay premiums for health insurance or long‑term care insurance. This brochure explains who is eligible and how conversion works.
Living Benefits are the proceeds of your life insurance coverage under the Wisconsin Public Employers Group Life Insurance program that are paid to you while you are still living rather than to your beneficiaries after your death.
ET-2305
Form
Active Employee /
Local Employer /
State Employer
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.
A benefit may be paid during your lifetime or upon your death. You or your beneficiary must make sure to follow the correct steps to receive your benefit.
ET-4925
Brochure
Active Employee /
Retiree /
Other Benefit Recipient
