Form Active Employee / Local Employer / State Employer

Health Care Provider Form

Complete this form using results from your most recent health care provider visit to earn credit for the Well Wisconsin Program.

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.

LAHP Cover Image

Local Annuitant Health Program (LAHP)

Learn more about health, dental and wellness benefits - for certain local retirees and surviving dependents.

Plan Year
  • 2025
Program Option
  • Local Annuitant Health Program (LAHP)