HDHP Eligibility

A few eligibility requirements include:

You must be covered by a High Deductible Health Plan (HDHP) and enrolled in the Health Savings Account (HSA) offered by ETF.

You cannot have any other health coverage that pays for out-of-pocket health care expenses before you meet your plan deductible (including Medicare).

Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits
Plan Year
  • 2025
ET-4305
Form Active Employee / Retiree

Sick Leave Escrow Application

Apply to escrow your sick leave credits, if eligible. To escrow means to preserve or bank your sick leave credits for use at a later date.

State Maintenance Plan (SMP) by Dean Health Plan for Locals

Major Health Systems
  • Aspirus Health
  • Ascension Wisconsin
  • Aurora Health Care
  • Essentia Health
  • Marshfield Clinic
  • Northlakes Community Clinics
  • St. Luke's (Aspirus Health)
Full Service Areas
  • Adams County
  • Ashland County
  • Barron County
  • Bayfield County
  • Buffalo County
  • Burnett County
  • Clark County
  • Columbia County
  • Douglas County
  • Dunn County
  • Florence County
  • Forest County
  • Grant County
  • Green County
  • Iowa County
  • Iron County
  • Jefferson County
  • Juneau County
  • Lafayette County
  • Langlade County
  • Lincoln County
  • Marathon County
  • Marquette County
  • Menominee County
  • Oneida County
  • Polk County
  • Portage County
  • Price County
  • Richland County
  • Rock County
  • Rusk County
  • Sauk County
  • Sawyer County
  • St. Croix County
  • Taylor County
  • Vilas County
  • Walworth County
  • Washburn County
  • Wood County
Limited Service Areas
  • Michigan
  • Minnesota