ET-5350 Form Active Employee Income Continuation Insurance Medical Report Physician report to verify eligibility for an income continuation insurance claim.
Department News May 21, 2025 4:30pm GIB Approves Health Insurance Program Rates for 2026 Today, the Group Insurance Board set premium rates for the 2026 plan year. In addition, the Board approved the health plan service area qualifications and other benefits of the State of Wisconsin Group Health Insurance Program.
Components of Your Health Insurance Premium 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
