ET-2350
Form Active Employee

Health Insurance Election for Military Service Personnel

Section 40.05 (4g), Wis. Stat., provides additional months of state contribution toward health insurance premiums for certain military service personnel who receive a military leave of absence or are eligible for reemployment under Wis. Stat. § 321.64.

ET-4109
Form Active Employee / Retiree

Medicare Enrollment for Retiring Employees

The following information is for employees who will retire in the next three months and will be transitioning into Medicare under the State or the Wisconsin Public Employers Group Health Insurance Programs.

Quartz - Central

Major Health Systems
  • Aurora Health Care
  • Gundersen Health System
  • ProHealth Medical Group
  • UnityPoint Health - Meriter Hospital & Clinics
  • UW Health Hospitals & Specialty Clinics
Full Service Areas
  • Adams County
  • Columbia County
  • Dodge County
  • Fond Du Lac County
  • Grant County
  • Green County
  • Green Lake County
  • Iowa County
  • Jefferson County
  • Juneau County
  • Lafayette County
  • Marquette County
  • Richland County
  • Rock County
  • Sauk County
  • Walworth County
  • Waukesha County
  • Waushara County
  • Wood County
Limited Service Areas
  • Illinois
  • Iowa
  • Minnesota

Quartz - West

Major Health Systems
  • Black River Memorial 
  • Crossing Rivers Health 
  • Gundersen Health System 
  • OakLeaf IPA and Surgical Hospital 
  • Tomah Health
  • UW Health Hospital & Specialty Clinics
  • Vernon Memorial Healthcare 
Full Service Areas
  • Chippewa County
  • Crawford County
  • Eau Claire County
  • Jackson County
  • La Crosse County
  • Monroe County
  • Trempealeau County
  • Vernon County
Limited Service Areas
  • Buffalo County
  • Clark County
  • Pepin County
  • Illinois
  • Iowa
  • Minnesota
ET-8108
Flyer Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer

Nondiscrimination and Language Access

ETF complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity.

Report Active Employee / Retiree / Other Benefit Recipient / Board Member / Local Employer / State Employer

10 Things You Should Know About Public Pension Disclosure Changes

State and local government retirement systems have significant oversight and disclosure requirements, some of which are being considerably modified. Ten key takeaways regarding existing disclosures, notable changes, and their effects.

ET-7423
Manual Other Benefit Recipient

Long-Term Care Insurance Standards

This document, “Long-Term Care Insurance Standards,” serves as a resource for insurers interested in offering state employees and retirees long-term care insurance (LTCI).

Deferred Compensation Board