ET-8928i Form Local Employer ETF Online Access Security Agreement – IAS Employers, complete this form for access to the new Insurance Administration System (IAS).
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.
You Plan to Retire Soon (Active Employees Only) 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 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
Submit, Change, or Terminate Letters of Guardianship Learn the steps to submit, change or terminate Letters of Guardianship.