ET-6301
Form Other Benefit Recipient

Notice of Death

Notify the third party administrator of the group life insurance program of a member death.

Dependent Information FAQs

Program Option
  • 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-1110
Manual Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer

My Insurance Benefits HR Administrator Guide

For UWs only: This guide demonstrates procedures to help support the HR administrative duties within My Insurance Benefits and covers a variety of scenarios, such as enrollment, task management, and document management.

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.

Report Active Employee / Retiree / Other Benefit Recipient / Board Member / Local Employer / State Employer

Wisconsin Retirement System Financial Report 2016

Independent Auditor’s Report on the Financial Statements and Other Reporting Required by Government Auditing Standards for the year ended December 31, 2016.

26ET-2180
Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer

2026 Uniform Benefits Certificate of Coverage

This 2026 Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

ET-8501
Sep 29, 2021 5:00pm Report Active Employee / Other Benefit Recipient

Annual Comprehensive Financial Report 2020

The Annual Comprehensive Financial Report of the Wisconsin Department of Employee Trust Funds for the year ended December 31, 2020 provides comprehensive information about ETF, the Wisconsin Retirement System, and other benefit programs administered by ETF.