ACA: Marketplace Health Insurance Coverage Options Notice

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-7414
Form Active Employee / Retiree / Other Benefit Recipient

Authorization to Disclose Medical Information

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.

ET-4121
Brochure Active Employee

Buying Creditable Service

This brochure describes the types of service you may be eligible to buy, the benefits and restrictions on the purchases, and how and when you can buy service.

Group Retirement Appointment
Jun 5, 2025 2:00pm Waukesha, WI Event Open

Group Retirement Appointment

A benefits specialist will be in your area to conduct group appointments. Bring your Retirement Benefit Estimates and Application (ET-4301) which you receive from ETF. Several topics will be discussed at this 2½ hour appointment.

Group Retirement Appointment
Jun 5, 2025 10:00am Waukesha, WI Event Open

Group Retirement Appointment

A benefits specialist will be in your area to conduct group appointments. Bring your Retirement Benefit Estimates and Application (ET-4301) which you receive from ETF. Several topics will be discussed at this 2½ hour appointment.

Group Retirement Appointment
Jun 18, 2025 9:00am Rhinelander, WI Event Open

Group Retirement Appointment

A benefits specialist will be in your area to conduct group appointments. Bring your Retirement Benefit Estimates and Application (ET-4301) which you receive from ETF. Several topics will be discussed at this 2½ hour appointment.

Group Retirement Appointment
Jun 17, 2025 2:00pm Rhinelander, WI Event Open

Group Retirement Appointment

A benefits specialist will be in your area to conduct group appointments. Bring your Retirement Benefit Estimates and Application (ET-4301) which you receive from ETF. Several topics will be discussed at this 2½ hour appointment.

Group Retirement Appointment
Jun 25, 2025 10:00am Oshkosh, WI Event Open

Group Retirement Appointment

A benefits specialist will be in your area to conduct group appointments. Bring your Retirement Benefit Estimates and Application (ET-4301) which you receive from ETF. Several topics will be discussed at this 2½ hour appointment.

Group Retirement Appointment
Jun 25, 2025 2:00pm Oshkosh, WI Event Open

Group Retirement Appointment

A benefits specialist will be in your area to conduct group appointments. Bring your Retirement Benefit Estimates and Application (ET-4301) which you receive from ETF. Several topics will be discussed at this 2½ hour appointment.