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The employee completes parts A and B of this form and submits it to the employer where the member rendered the service to purchase.

For UWs only: These procedures will walk employers through steps to take in My Insurance Benefits.

Employers, complete to designate an employee as the agent representing the employer in matters pertaining to the programs administered by the Department of Employee Trust Funds.

Understand the steps to report a death and ETF’s process for paying benefits.

Neither the state of Wisconsin, the Department of Employee Trust Funds (ETF), nor any of its programs nor any of its employees, shall be held liable for any improper or incorrect use of, or inability to use, the information described and/or contained herein.

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

Traditionally, flu clinics are held indoors. However, this year an outdoor clinic may better suit your needs.

Retirement benefit calculation methods, annuity payment options, normal retirement age information and more.

The Wisconsin Public Employers Group Life Insurance program provides continuation of your group life insurance after retirement if you meet the eligibility requirements.

These terms constitute a legal binding agreement and govern an employer's use of ETF online service.