ET-2405
Form Active Employee / Retiree

ETF Insurance Complaint Form

If you filed a grievance with the plan or benefit administrator and are dissatisfied with the final decision, you can request an administrative review from ETF.

Flyer Active Employee / Local Employer / State Employer

Well Wisconsin Launch Flyer

The new Well Wisconsin portal is simpler, easier to use, and more customized to your personal experience. Complete a health assessment, health check, well-being activity to earn a gift card.

ET-8900
Active Employee / Retiree / Local Employer / State Employer

Employee Reimbursement Accounts Fact Sheet

The Employee Reimbursement Accounts (ERA) Program is an optional benefit that allows participants to use pre-tax dollars to pay for certain Internal Revenue Service-approved expenses.

People kayaking

Well Wisconsin for Members

The Well Wisconsin program, administered by WebMD, provides tools and resources to help participants set health and well-being goals, track progress, stay motivated, and earn incentives.

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
ET-8934
Active Employee / Retiree / Local Employer / State Employer

Ombudsperson Services Fact Sheet

ETF Ombudsperson Services was created in 1992 to assist members with insurance problems or inquiries.

Appeal: Employment Category Change (Jailers)

The information pertains to an appeal by a number of employees working in county jails throughout the state (jailers) of Wisconsin. The appeal was based on their employer’s determination that they should be reported to the Wisconsin Retirement System as General Category employees instead of protective category employees with Social Security.

Form Active Employee / Local Employer / State Employer

Health Care Provider Form

Complete this form using results from your most recent health care provider visit to earn credit for the Well Wisconsin Program.