A Health Care Flexible Spending Account (FSA) allows you to set aside tax-free dollars each year for health care expenses not covered by insurance. You may use these funds to pay for eligible health care expenses incurred by you, your spouse, and your qualified dependents.
Plan Year
2025
Program Option
State Employee and Retiree Health Plan & Supplemental Benefits
Only available to participants enrolled in a High Deductible Health Plan (HDHP).
A Limited Purpose Flexible Spending Account (LPFSA) is a pre-tax benefit used to pay for eligible dental, vision care, and post-deductible medical expenses. You may use these funds to pay for eligible expenses incurred by you, your spouse, and your qualified dependents.
Plan Year
2025
Program Option
State Employee and Retiree Health Plan & Supplemental Benefits
This plan document provides provisions on the Commuter Fringe Benefits Accounts, such as plan administration, eligibility, participation, and termination.
The State of Wisconsin Group Insurance Board contracts with a Pharmacy Benefit Manager to provide administrative services to State of Wisconsin and Wisconsin Public Employer group health insurance program participants.
ET-2385
Form
Active Employee /
Local Employer /
State Employer