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.
Report Active Employee / Retiree / Board Member / State Employer Accumulated Sick Leave Conversion Credit Program Annual Actuarial Valuation 2021 This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Accumulated Sick Leave Conversion Credit (ASLCC) Programs as of December 31, 2021.