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Health & Pharmacy

Information about your health benefits offered through the State of Wisconsin Group Health Insurance Program

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

Report Active Employee / Board Member / State Employer

State Income Continuation Insurance Plan Actuarial Valuation 2016

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2016.

Report Active Employee / Retiree / Board Member / State Employer

State Income Continuation Insurance Plan Actuarial Valuation 2015

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2015.

ET-2500s

Form State Employer

Termination Checklist For State Employees

A checklist for state employers to use when an employee is terminating for a reason other than retirement.

Active Employee / Retiree / Other Benefit Recipient / Board Member / Local Employer / State Employer

Remarks to the Assembly Committee on Corrections 2017 Assembly Bill 676 (1-9-18)

Report Active Employee / Retiree / Other Benefit Recipient / Board Member / Local Employer / State Employer

Wisconsin Retirement System Financial Report 2016

Independent Auditor’s Report on the Financial Statements and Other Reporting Required by Government Auditing Standards for the year ended December 31, 2016.

Report Active Employee / Retiree / Board Member / Local Employer / State Employer

Duty Disability Program Actuarial Valuation 2024

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2023.

ET-2810

Form Local Employer / State Employer

Employee Identification Correction

Correct or change information reported to ETF through the WRS enrollment process.

ET-8948

Active Employee / Retiree / Local Employer / State Employer

Uniform Dental Benefit Fact Sheet

The Uniform Dental Benefit (UDB) is intended to provide dental coverage for preventive, basic and diagnostic services.

ET-1119

Manual State Employer

Income Continuation Insurance Administration Manual - State

The ICI Program is authorized by Wis. Stat. §§ 40.61 and 40.62, and is administered according to the plan provisions between the Group Insurance Board and the program’s third-party administrator.

ET-2307

Form Active Employee / State Employer

Income Continuation Insurance Application - State

Complete and then submit to your employer to apply for income continuation insurance.