ET-2405
Form Active Employee / Retiree

ETF Insurance Complaint Form

If you filed a grievance with the plan or benefit administrator and are dissatisfied with the final decision, you can request an administrative review from ETF.

WRS News Online for Employees
Aug 28, 2023 8:00am Sept 2023 edition

New! Power of Attorney and Guardianship Resources

ETF has new web pages on financial power of attorney documents and guardianship orders. You'll find information and resources on these important topics and how they pertain to WRS benefits.

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.

Legislative News
Jul 15, 2015 5:00pm

Summary of 2015 Wisconsin Act 55

On July 12, 2015, Governor Walker signed the 2015-17 biennial budget bill into law (2015 Wisconsin Act 55). The Department of Employee Trust Funds has completed an initial review of the law and prepared a summary of the provisions that relate to ETF and its administration of the Wisconsin Retirement System.

ET-7414
Form Active Employee / Retiree / Other Benefit Recipient

Authorization to Disclose Medical Information

This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.

How to Sign Up for Benefits Mentor

Before you begin your Benefits Mentor experience you will need to register and verify your identity. Follow our instructions for helpful tips.

Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits