The Basic group life insurance plan became available to state employees in 1958 and to local government employees in 1960. Spouse & Dependent, Supplemental and Additional coverage is also available.
THE STATE OF WISCONSIN DEPARTMENT OF EMPLOYEE TRUST FUNDS
The purpose of Request for Proposal (RFP) ETH0039-48 is to provide interested and qualified vendors with information to enable them to prepare and submit competitive proposals to perform compliance audit services on third party administrator (“TPA”) contracts for the following State of Wisconsin employee benefit programs and services:
ETH0039 Internal Revenue Code Section 125 Cafeteria Plan and Employee Reimbursement Account Program
Find out which documents are required when adding a spouse or dependent to your insurance or making changes due to a qualified life event. Having the correct paperwork will help ensure a smooth update to your coverage.
Program Option
Local Annuitant Health Program (LAHP)
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
The purpose of this Request for Proposals (RFP) is to solicit proposals from interested and qualified group life insurance providers that possess the resources and expertise to insure and administer the Wisconsin Public Employers Group Life Insurance Program (Program). Proposals from brokers will not be considered.
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-4112
Brochure
Active Employee /
Retiree /
Local Employer /
State Employer
