Your Spouse or Dependent Dies Experiencing this life event may allow you to make changes to your accident plan or health, dental, vision, or long-term care insurance. 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
Active Employee / Retiree / Board Member / Local Employer / State Employer Group Insurance Board Letter (5-8-17) to Joint Committee on Finance
Active Employee / Retiree / Board Member / Local Employer / State Employer Group Insurance Board Letter (5-26-17) to Joint Committee on Finance
Report Retiree / Board Member / Local Employer / State Employer WRS Annual Actuarial Valuation Variations of Retired Lives 2001 This report presents the annual actuarial valuations of retired lives covered by the Wisconsin Retirement System as of December 31, 2001.
Report Retiree / Board Member / Local Employer / State Employer WRS Annual Actuarial Valuation of Active Lives 2001 This report presents the annual actuarial valuations of non-retired members covered by the Wisconsin Retirement System as of December 31, 2001.
Report Active Employee / Retiree / Board Member / State Employer Accumulated Sick Leave Conversion Credit Program Annual Actuarial Valuation 2002 This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Accumulated Sick Leave Conversion Credit (ASLCC) Programs as of December 31, 2002.
How to Re-Enroll in Health Insurance Learn the steps to re-enroll in the State of Wisconsin Group Health Insurance Program and begin using your saved sick leave credits.
ET-2372 Form Active Employee / Retiree Affidavit of Termination of Domestic Partners This affidavit certifies the irrevocable termination of a domestic partnership as defined in Wisconsin Statute 40.02 (21d).
ET-4938 Form Active Employee / Retiree / Other Benefit Recipient Appeal Form Submit this completed form to ETF to appeal a determination regarding your ETF-administered benefit(s).