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This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.

Physician report to verify eligibility for an income continuation insurance claim.

This is the Model Notice for COBRA Continuation Subsidy under the American Rescue Plan [ARP] Act of 2021. Employers please note that information for qualified beneficiaries must be completed. 

Notify the third party administrator of the group life insurance program of a member's spouse or dependent death.

Use this form to request to inspect or copy medical information maintained about you by ETF.

Wisconsin law allows ETF to release personal information to a third party if the member has first provided ETF with a valid written authorization. Use this form to authorize the release of non-medical information.

The Public Records notice for records pertaining to the Employee Trust Funds board, Teachers Retirement Board, Wisconsin Retirement Board, Group Insurance Board and Deferred Compensation Board.

April eAlert: Regional Biometric Health Screenings, Diabetes Support, 5K Workshops

Have you ever needed medical care and didn’t know where to turn? In this video you'll learn about your care options and the advantages of each, including which is easiest on the wallet.