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ET-2144

Flyer Active Employee / Retiree / Other Benefit Recipient

State of Wisconsin Health Benefit Program Data Flow

Learn how the data warehouse securely collects and stores enrollment, claims, and wellness data for all participants of the Group Health Insurance Program.

ET-2405

Form Active Employee / Retiree

ETF Insurance Complaint Form

If you filed a grievance with the plan or benefit administrator and are dissatisfied with the final decision, you can request an administrative review from ETF.

Submit, Change, or Terminate Letters of Guardianship

Learn the steps to submit, change or terminate Letters of Guardianship.

Create, Submit, or Revoke A Financial Power of Attorney Document

Find resources for creating a financial power of attorney document, learn how to submit your document to ETF and how to revoke your document.

Changes to Life Insurance Coverage

Events happen in life and can affect your coverage. Make sure you know when you lose your coverage and what steps to take to make sure you can keep it.

You Have a New Dependent

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

Life Insurance Enroll and Cost

See the eligibility requirements, enrollment specifications and cost to enroll in or cancel this benefit.

Sick Leave Credit Calculations

Learn how your sick leave credits are calculated for Accumulated Sick Leave Credit Conversion (ASLCC) and Supplemental Health Insurance Conversion Credit (SHICC).

Which Dental Plans Are Available to Me?

The dental plans available to you are determined by whether you are an employee or retiree, and who is your current or former employer.

ET-8903

Active Employee / Retiree / Local Employer / State Employer

Group Life Insurance Fact Sheet

The Wisconsin Public Employers Group Life Insurance Program is a benefit provided under the WRS and is available to employees of the State of Wisconsin and employees of participating Wisconsin local government employers.