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

Complete this form to report non-military service, National Guard, or Reserve Service.

The employee completes parts A and B of this form and submits it to the employer where the member rendered the service to purchase.

This report presents the Gain/Loss Analysis of Experience Among Active Members as of December 31, 2011.

This report presents the Gain/Loss Analysis of Experience Among Active Members as of December 31, 2010.

This report presents the Gain/Loss Analysis of Experience Among Active Members as of December 31, 2009.

This report presents the annual actuarial valuations of non-retired members covered by the Wisconsin Retirement System as of December 31, 2010.

This application allows you to apply to enroll in the Income Continuation Insurance (ICI) Program if you did not enroll when originally eligible or if coverage was canceled.

Complete this form to waive your participation in automatic premium conversion, or to revoke a waiver of premium conversion that you filed previously.