Use the forms on this page to administer the Group Health Insurance program. If you are not finding what you need, go to the Publications page to search through all publications.
Local government employers may choose to pay for continued life insurance coverage for their employees in retirement. To do so, local employers must submit the Local Employer Paid Life Insurance Coverage (ET-1660) form.
The Group Insurance Board (Board) moved forward with the 5% increase to the employee premium rates effective April 1, 2022. For rates effective April 1, 2022 - March 31, 2023, please see Group Life Insurance Plan Monthly Rates (ET-2164).
The Group Insurance Board moved forward with the 5% increase to the employee premium rates effective April 1, 2023. For rates effective April 1, 2023 - March 31, 2024, please see Group Life Insurance Plan Monthly Rates (ET-2164).
Benefits include: Health, Wellness, Dental, Vision, Accidental Death and Dismemberment (AD&D), Long-Term Care and Pre-Tax Savings Accounts. Sign up and learn more about your health benefits.
Plan Year
2024
Program Option
State Employee and Retiree Health Plan & Supplemental Benefits
The Board moved forward with the 5% increase to the employee premium rates effective April 1, 2024. For rates effective April 1, 2023 - March 31, 2024, please see Group Life Insurance Plan Monthly Rates (ET-2164).
The program offers term life insurance coverage up to 5 times an employee's yearly pay for State of Wisconsin employees and local government employees whose employer offers the plan. Employees may also insure their spouses and dependent children.
