ETA0043 Request for Information (RFI)

RFI - Medicare Advantage Group Health Insurance Program

The purpose of this Request for Information (RFI) is to solicit information from vendors who possess the resources and expertise to insure and administer group Medicare Advantage health insurance benefits for members in the State of Wisconsin and the Wisconsin Public Employer (Local) Group Health Insurance Programs (GHIPs), managed by the Wisconsin Department of Employee Trust Funds (ETF) with oversight by the State of Wisconsin Group Insurance Board (Board).

ET-4317
Form Active Employee / Retiree

Sick Leave Re-enrollment Application

Re-enroll for group health insurance coverage during the annual It’s Your Choice open enrollment period or after an involuntary loss of your comparable non-state coverage, if eligible.

ET-2572
Form Local Employer / State Employer

New Employee Benefit Checklist

A tool for an employer to confirm information was presented to a new employee, due dates identified and appropriate information and forms supplied for all ETF-administered benefits offered by the employer.

Quartz - UW Health

Major Health Systems
  • Access Community Health Centers
  • Associated Physicians, LLP
  • Madison Women's Health, LLP
  • Physicians for Women
  • UnityPoint Health – Meriter Hospital & Clinics
  • UW Health Hospitals & Clinics
  • Wildwood Family Clinic, SC
Full Service Areas
  • Dane County