A Health Care Flexible Spending Account (FSA) allows you to set aside tax-free dollars each year for health care expenses not covered by insurance. You may use these funds to pay for eligible health care expenses incurred by you, your spouse, and your qualified dependents.
Plan Year
2024
Program Option
State Employee and Retiree Health Plan & Supplemental Benefits
Only available to participants enrolled in a High Deductible Health Plan (HDHP).
A Limited Purpose Flexible Spending Account (LPFSA) is a pre-tax benefit used to pay for eligible dental, vision care, and post-deductible medical expenses. You may use these funds to pay for eligible expenses incurred by you, your spouse, and your qualified dependents.
Plan Year
2024
Program Option
State Employee and Retiree Health Plan & Supplemental Benefits
If you are the owner of a WRS account from which a WRS death benefit or life insurance benefit would be payable upon your death, you may file a beneficiary designation.
ET-2321
Form
Active Employee /
Retiree /
Other Benefit Recipient
If you are the owner of a WRS account from which a WRS death benefit or life insurance benefit would be payable upon your death, you may file a beneficiary designation.
If you leave employment with the WRS before reaching minimum retirement age, you may keep your money with the WRS or take a separation benefit. Learn about the key things to consider before taking a separation benefit.
If you wish to specify who shall receive a primary beneficiary’s share of a death or life insurance benefit if a primary beneficiary is deceased, you must use this alternate beneficiary designation form.
Form
Active Employee /
Local Employer /
State Employer
Complete this form using results from your most recent health care provider visit to earn credit for the 2021 Well Wisconsin Program. The form must be submitted by October 8, 2021.