Webinar
Jan 31, 2024 12:00pm Event Open

2024 Well Wisconsin Kick-off

ETF invites you to learn more about the Well Wisconsin Program and the new resources available to support your well-being and mental health, and manage chronic conditions.

2020 Wellness Activities

Complete any one of these well-being activities by October 9, 2020, to check off the “complete a well-being activity” box of your Well Wisconsin incentive.

ET-4111
Form Retiree

Medicare Enrollment for Disability Retirees

If you retired due to a disability, you may be eligible for Medicare benefits. Medicare eligibility related to disability is available to persons who have received Social Security disability benefits for at least 24 months, who have End Stage Renal Disease (ESRD), or Lou Gehrig’s Disease (ALS).

ET-1518
Form State Employer

Flexible Spending Account Continuation Election Form

Employers must issue this notice to employees within 14 days of becoming aware of a qualifying event that will cause an employee to lose eligibility to participate in the FSA or limited purpose FSA program(s).

ET-4317
Form Active Employee / Retiree

Sick Leave Re-enrollment Application

Re-enroll for group health insurance coverage during the annual It’s Your Choice open enrollment period or after an involuntary loss of your comparable non-state coverage, if eligible.