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This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Accumulated Sick Leave Conversion Credit (ASLCC) Programs as of December 31, 2015.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Accumulated Sick Leave Conversion Credit (ASLCC) Programs as of December 31, 2014.

This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Accumulated Sick Leave Conversion Credit (ASLCC) Programs as of December 31, 2020.

This Evidences of Coverage provides details about Medicare health care coverage from January 1, 2024 - December 31, 2024. 

Medicare Advantage, with deductible, Evidence of Coverage for the 2024 plan year.

A study of the structure of the Wisconsin Retirement System and benefits provided under the system in accordance with the 2011 Wisconsin Act 32.

You and/or your insured dependents must be enrolled for both portions of Medicare (Hospital Part A and Medical Part B), when first eligible. Provide this information to ETF using this form.

Uniform Pharmacy Benefits Certificate of Coverage for the 2025 plan year, for all program options.

Uniform Pharmacy Benefits Certificate of Coverage for the 2024 plan year, for all program options.