If any portion of your group life insurance coverage terminates, you may be able to continue your life insurance protection. Your right to do this is called a conversion privilege, and its features are described here.
ET-2305
Form
Active Employee /
Local Employer /
State Employer
Employees who did not enroll for group life insurance coverage during their initial enrollment period, or insured employees who wish to apply for more insurance for themselves or their spouse or dependents, may apply using this form.
Active Employee /
Retiree /
Board Member /
State Employer
Audited schedules as of, and for the year ended, December 31, 2021 are now available for state and local employers participating in the WRS and Group Life Insurance Program, and state employers participating in the SHICC Program.
Audited schedules as of, and for the year ended, December 31, 2020 are now available for state and local employers participating in the WRS and group life insurance program, and state employers participating in the SHICC Program.
The program offers term life insurance coverage up to 5 times an employee's yearly pay for State of Wisconsin employees and local government employees whose employer offers the plan. Employees may also insure their spouses and dependent children.
The Group Insurance Board moved forward with the 5% increase to the employee premium rates effective April 1, 2023. For rates effective April 1, 2023 - March 31, 2024, please see Group Life Insurance Plan Monthly Rates (ET-2164).