Survivor's certification that a WRS annuity or lump-sum payment made to the survivor of the member named in this form may be eligible for an income tax exemption.
ET-4925
Brochure
Active Employee /
Retiree /
Other Benefit Recipient
Learn about the key differences between plan designs, such as how much you'll pay per month, how much you can expect to pay when you visit the doctor, and if you will have nationwide coverage.
Program Option
State Employee and Retiree Health Plan & Supplemental Benefits