Search

Showing 11 - 20 of 638

ET-2206

Form Active Employee

Employer Certification of Other Governmental Service

The employee completes parts A and B of this form and submits it to the employer where the member rendered the service to purchase.

Employer Dissolves

Understand what happens when your employer dissolves and you become an inactive employee.

STAR Employers

Program Option

State Employee and Retiree Health Plan & Supplemental Benefits

ET-4814

Form Active Employee / Retiree / Local Employer

Local Employer Verification of Health Insurance Coverage

Local employers, complete to submit verification for an employee's or local-paid retiree's health insurance coverage.

ET-4620

Form Active Employee / Local Employer / State Employer

Employee/Employer Certification Annuitant Continuant Coverage--Private Pension Fund

This application is intended for insured employees who are terminating private pension employment, who may qualify to continue life insurance coverage.

Well Wisconsin Employer-Sponsored Activity Toolkits

Toolkits are available to help create more engagement in challenges and create a culture of well-being across your worksite.

Equal Employment Opportunity Commission (EEOC) Notice Regarding Wellness Program

Program Option

Local Annuitant Health Program (LAHP)
Local Deductible Health Plan (PO14) & Supplemental Benefits
Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
Local Health Plan (PO16) & Supplemental Benefits
Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
Local High Deductible Health Plan (PO17) & Supplemental Benefits
Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
Local Traditional Health Plan (PO12) & Supplemental Benefits
Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits
State Employee and Retiree Health Plan & Supplemental Benefits

ET-2101

Brochure Active Employee / Retiree / Other Benefit Recipient

The Wisconsin Public Employers Group Life Insurance Program

This brochure describes your group term life insurance protection and is your certificate of participation, given a valid enrollment form is on file with ETF and premiums are being paid.

ET-2121

Brochure Active Employee

How Part-Time Employment Affects Your WRS Benefits

This brochure explains the effect that part-time WRS employment has on your WRS retirement and other benefits.

You or Your Dependent Involuntarily Lose Eligibility or All Employer Contribution for Other Group Medical Coverage

Experiencing this life event may allow you to make changes to your accident plan or health, dental, vision, or long-term care insurance.

Program Option

Local Annuitant Health Program (LAHP)
Local Deductible Health Plan (PO14) & Supplemental Benefits
Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
Local Health Plan (PO16) & Supplemental Benefits
Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
Local High Deductible Health Plan (PO17) & Supplemental Benefits
Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
Local Traditional Health Plan (PO12) & Supplemental Benefits
Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits
State Employee and Retiree Health Plan & Supplemental Benefits