Annual Requirements for Disability Benefits Each year, recipients of disability benefits must complete and submit form(s) to ensure that their benefits continue without interruption. It is crucial that all required forms are submitted timely to prevent suspension of the benefit.
ET-4814 Form Active Employee / Retiree / Local Employer Local Employer Verification of Health Insurance Coverage Local employers, complete to submit verification for an employee's or local-paid retiree's health insurance coverage.
Group Health Cooperative of Eau Claire - River Region Network Major Health Systems Marshfield Clinic Health SystemOakleaf Clinics Full Service Areas Barron County Chippewa County Dunn County Eau Claire County Rusk County
Online Services Terms and Conditions of Use Agreement for Employers These terms constitute a legal binding agreement and govern an employer's use of ETF online service.
Health Plan and Vendor Contact Information Find the address, phone number, and other contact details for health plans and vendors. 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
