ET-7406
Form Active Employee / Retiree / Other Benefit Recipient

Authorization to Disclose Non-Medical Personal Information

Wisconsin law allows ETF to release personal information to a third party if the member has first provided ETF with a valid written authorization. Use this form to authorize the release of non-medical information.

Employer News
Jan 19, 2022 9:00am

2022 Well Wisconsin Program

The Well Wisconsin program is available to subscribers and spouses enrolled in the Group Health Insurance Program via a partnership with WebMD. Participants can earn a taxable $150 gift card by completing a health check, health assessment, and well-being activity.

ET-1158
Manual Local Employer / State Employer

State of Wisconsin Supplemental Benefit Plans Administration Manual

Supplemental Benefit Plans are types of insurance that are generally supplementary to group health insurance, providing coverage for dental, vision, accidental injury, or accidental death and voluntary for eligible employees and retirees.