ET-2101
Brochure Active Employee / Retiree / Other Benefit Recipient

The Wisconsin Public Employers Group Life Insurance Program

This brochure describes your group term life insurance protection and is your certificate of participation, given a valid enrollment form is on file with ETF and premiums are being paid.

Quartz - UW Health

Major Health Systems
  • Access Community Health Centers
  • Associated Physicians, LLP
  • Madison Women's Health, LLP
  • Physicians for Women
  • UnityPoint Health – Meriter Hospital & Clinics
  • UW Health Hospitals & Clinics
  • Wildwood Family Clinic, SC
Full Service Areas
  • Dane County

Dean Health Plan - Medica West and Mayo Clinic Health System

Major Health Systems
  • Mayo Clinic
  • Mayo Clinic Health System
  • Northfield Hospital & Clinics
  • OakLeaf Clinics
  • Black River Memorial Hospital 
Full Service Areas
  • Barron County
  • Buffalo County
  • Chippewa County
  • Crawford County
  • Dunn County
  • Eau Claire County
  • Jackson County
  • La Crosse County
  • Monroe County
  • Pepin County
  • Pierce County
  • St. Croix County
  • Trempealeau County
  • Vernon County
Limited Service Areas
  • Minnesota
ET-2350
Form Active Employee

Health Insurance Election for Military Service Personnel

Section 40.05 (4g), Wis. Stat., provides additional months of state contribution toward health insurance premiums for certain military service personnel who receive a military leave of absence or are eligible for reemployment under Wis. Stat. § 321.64.