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Report Active Employee / Board Member / State Employer

State Income Continuation Insurance Plan Actuarial Valuation 2014

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2014.

The cover image of the Annuity Options brochure: Wisconsin trees in fall colors.

Annuity Payment Options

Use the information provided on this page to choose the retirement benefit payment option that fits you best.

Notice of Creditable Coverage for Medicare Part D

Program Option

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

ET-4500

Flyer Active Employee

Guide to Using Your Annual Statement of Benefits Data

Use this document to guide how you enter data into the WRS Retirement Benefits Calculator from your most recent Annual Statement of Benefits.

Report Active Employee / Retiree / Board Member / State Employer

State Income Continuation Insurance Plan Actuarial Valuation 2015

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2015.

ET-7282

Form Active Employee / Retiree / Other Benefit Recipient

Direct Deposit Authorization

Authorize ETF and the financial institution you name to deposit funds such as annuity payments directly into your bank account.

ET-2321

Form Active Employee / Retiree

Beneficiary Designation - Alternate

If you wish to specify who shall receive a primary beneficiary’s share of a death or life insurance benefit if a primary beneficiary is deceased, you must use this alternate beneficiary designation form.

24ET-2180

Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer

2024 Uniform Benefits Certificate of Coverage

This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

25ET-2180

Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer

2025 Uniform Benefits Certificate of Coverage

This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

Report Active Employee / Board Member / State Employer

State Income Continuation Insurance Plan Actuarial Valuation 2016

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2016.