ET-1419 Aug 19, 2020 3:42pm Form Local Employer / State Employer Wisconsin Retirement System New Employer Onboarding Checklist This checklist should be used for any employer who is considering submitting a Resolution for Inclusion Under the Wisconsin Retirement System (WRS).
ET-6303 Form Other Benefit Recipient Notice of Death for Spouse or Dependent Child Notify the third party administrator of the group life insurance program of a member's spouse or dependent death.
COBRA / Continuation of Health Coverage FAQs 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 Plan Year 2024
COBRA/Continuation of Health Coverage FAQs Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2024
Medicare Advantage FAQs Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2024
WRS News Online for Employees Aug 28, 2023 8:00am Sept 2023 edition Notice of Privacy Practices Review ETF's Notice of Privacy Practices.
Cancellation or Termination of Health Coverage FAQs Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2024
23ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2023 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
24ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2024 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
ET-4303 Form Active Employee / Local Employer / State Employer Waiver of Part-Time Elected Service Form for elected officials to irrevocably waive further participation in the WRS for current, and any future, service as an elected official that does not exceed 1,044 hours per year.