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ET-1419

Aug 19, 2020 3:42pm Form Local Employer / State Employer

Wisconsin Retirement System New Employer Onboarding Checklist

This checklist should be used for any employer who is considering submitting a Resolution for Inclusion Under the Wisconsin Retirement System (WRS).

ET-2311

Form Active Employee / Local Employer / State Employer

COBRA Continuation - Conversion Notice

Under federal law, known as COBRA, you and your qualified beneficiaries may continue group health insurance coverage, if eligible.

National Medical Support Notice

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

WRS News Online for Employees

Aug 28, 2023 8:00am Sept 2023 edition

Notice of Privacy Practices

Review ETF's Notice of Privacy Practices.

Notice of Creditable Coverage for Medicare Part D

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

ACA: Marketplace Health Insurance Coverage Options Notice

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-6303

Form Other Benefit Recipient

Notice of Death for Spouse or Dependent Child

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

Employer News

Sep 5, 2024 7:00am

Insurance Benefits 2025 Open Enrollment Information for State Employers

The annual insurance benefits open enrollment period is September 30-October 25, 2024. The annual insurance benefits open enrollment allows uninsured but eligible employees and retirees to enroll for coverage effective the following January 1.

Employer News

Sep 7, 2023 7:00am

Health Benefits 2024 Open Enrollment Information for State Employers

The annual health benefits open enrollment period is September 25 - October 20, 2023. The annual health benefits open enrollment allows uninsured but eligible employees and retirees to enroll for coverage effective the following January 1.

Employer News

Sep 9, 2022 7:00am

Health Benefits 2023 Open Enrollment Information for State Employers

It’s health benefits open enrollment period is September 26 - October 21, 2022. The annual health benefits open enrollment allows uninsured but eligible employees and retirees to enroll for coverage effective the following January 1.