ET-4307
Form Active Employee / Retiree

Medicare Eligibility Statement

You and/or your insured dependents must be enrolled for both portions of Medicare (Hospital Part A and Medical Part B), when first eligible. Provide this information to ETF using this form.

Find Covered Drugs and In-Network Pharmacies

Find nearby pharmacies and see which medications are covered by your plan.

Program Option
  • Local Annuitant Health Program (LAHP)
  • 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

Enroll or Make Changes

Learn how to enroll or make changes to your health insurance and supplemental benefits.

Plan Year
  • 2024
Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits
et-7402
May 1, 2024 3:00pm Newsletter Retiree

WRS News for Retirees May 2024

Cover feature: A Closer Look at WRS Retirees' Impact in Wisconsin's Communities and Economy

Flyer Active Employee / Retiree

It’s Your Health: Diabetes

Participating in the Well Wisconsin diabetes condition management program lowers your diabetes-related prescription copays.

Health and Wellness News
Mar 14, 2023 4:00pm

Sleep Awareness Week 2023

Spring ahead they say. Yet, do you feel like you’re dragging behind after losing an hour of sleep? The National Sleep Foundation uses this week to provide education on the connection between sleep and your health and well-being.

ET-4109
Form Active Employee / Retiree

Medicare Enrollment for Retiring Employees

The following information is for employees who will retire in the next three months and will be transitioning into Medicare under the State or the Wisconsin Public Employers Group Health Insurance Programs.