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You Have a Job Change Where You Gain a Greater Share of Employer Contribution Toward Your Coverage (Active Employees Only)

Experiencing this life event may allow you to make changes to your accident plan or health, dental, vision, or long-term care insurance.

Program Option

Local Deductible Health Plan (PO14) & Supplemental Benefits
Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
Local Health Plan (PO16) & Supplemental Benefits
Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
Local High Deductible Health Plan (PO17) & Supplemental Benefits
Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
Local Traditional Health Plan (PO12) & Supplemental Benefits
Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits
State Employee and Retiree Health Plan & Supplemental Benefits

Create, Submit, or Revoke A Financial Power of Attorney Document

Find resources for creating a financial power of attorney document, learn how to submit your document to ETF and how to revoke your document.

Statement of Incapacity

Some financial power of attorney documents require that the principal is incapacitated before the agent can act on their behalf.

Guardianship

A guardian is appointed by a court when a person is unable to make or communicate medical decisions, financial decisions, or both. Learn how Letters of Guardianship can impact a WRS account.

Submit, Change, or Terminate Letters of Guardianship

Learn the steps to submit, change or terminate Letters of Guardianship.

Department News

Sep 25, 2023 2:00pm

Open Enrollment for Plan Year 2024 is Here

The annual open enrollment period starts today! Group Health Insurance Program members can make health benefits changes effective January 1, 2024. Make the most of it – this is your opportunity to switch to another plan design or add supplemental benefits.

Employer News

Oct 3, 2023 11:00am

ICI Claims: List State of Wisconsin as Employer

When filing claims with ETF’s ICI administrator, The Hartford, employees should advise The Hartford that their employer is the State of Wisconsin—not their actual employer (such as City of ABC or State Agency XYZ).

You Have a Job Change Where You Lose a Significant Share of Employer Contribution Toward Your Coverage (Active Employees Only)

Experiencing this life event may allow you to make changes to your accident plan or health, dental, vision, or long-term care insurance.

Program Option

Local Deductible Health Plan (PO14) & Supplemental Benefits
Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
Local Health Plan (PO16) & Supplemental Benefits
Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
Local High Deductible Health Plan (PO17) & Supplemental Benefits
Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
Local Traditional Health Plan (PO12) & Supplemental Benefits
Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits
State Employee and Retiree Health Plan & Supplemental Benefits

ET-2308

Form Active Employee

Evidence of Insurability Instructions—Income Continuation Insurance (ICI)

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.

ET-5901

Form Local Employer / State Employer

Income Continuation Insurance Report of Employment and Earnings

Employers, complete this form to notify ETF of a claimant’s change in work status and/or earnings paid to the individual after the elimination period.