This is the Model Notice for COBRA Continuation Subsidy under the American Rescue Plan [ARP] Act of 2021. Employers please note that information for qualified beneficiaries must be completed.
ET-2311
Form
Active Employee /
Local Employer /
State Employer
The Wisconsin Public Employers Group Life Insurance Program is a benefit available to employees of employers who participate in
the WRS or a private pension program.
ET-1109g
Manual
Active Employee /
Retiree /
Other Benefit Recipient /
Local Employer /
State Employer
If you prefer to provide your employees with a paper copy of the guide, we will automatically send you the same number of guides as you received last year. If you would like to change the number of copies, contact name, or mailing address, email ETF.
