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ET-2311

Form Active Employee / Local Employer / State Employer

COBRA Continuation - Conversion Notice

Under federal law, known as COBRA, you and your qualified beneficiaries may continue group health insurance coverage, if eligible.

ET-9019

Active Employee / Retiree / Local Employer / State Employer

Local Annuitant Health Program Fact Sheet

LAHP is a program that provides group health insurance for retirees whose group health insurance with their former employer does not meet their needs or is not permanently available after retirement.

COBRA: Continuation of Coverage Rights for the Group Health Insurance Program

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-4943

Brochure Active Employee / Retiree / Other Benefit Recipient

Administrative Appeal Process

This brochure is designed to assist you in understanding the administrative appeals process as it relates to ETF. It is not intended to substitute for the legal advice or assistance of an attorney.

ET-8902

Active Employee / Retiree / Local Employer / State Employer

Group Health Insurance Fact Sheet

The group health insurance program is an employer-sponsored program offering group health coverage to employees of state agencies, UW System, UW Hospital & Clinics Authority and participating local government employers.

25ET-1136

Manual Local Employer / State Employer

2025 State of Wisconsin Group Health Insurance Program Agreement

This 2025 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.

ET-2384

Form Active Employee / Local Employer / State Employer

Employee Reimbursement Accounts (ERA) Enrollment

For UWs use only, as a paper alternative for a member who cannot complete their ERA enrollment online.

ET-1158

Manual Local Employer / State Employer

State of Wisconsin Supplemental Benefit Plans Administration Manual

Supplemental Benefit Plans are types of insurance that are generally supplementary to group health insurance, providing coverage for dental, vision, accidental injury, or accidental death and voluntary for eligible employees and retirees.

ET-1905

Manual Local Employer / State Employer

State of Wisconsin Department of Employee Trust Funds Section 125 Cafeteria Plan Summary Plan Description

This Summary Plan Description is a supplement to the Section 125 Cafeteria Plan Document (ET-1904), for members and employees. This publication summarizes the basic features of the plan.

Flyer Local Employer / State Employer

Well Wisconsin Daily Habits

Check off the “well-being activity” portion of your Well Wisconsin incentive when you complete one Daily Habits plan by logging in every day of your chosen activity period and reporting your progress.