Health Plan Tiers

This page details information on health plan tiers and qualified plans to help employers respond to employee questions during the open enrollment period.

ET-4303
Form Active Employee / Local Employer / State Employer

Waiver of Part-Time Elected Service

Form for elected officials to irrevocably waive further participation in the WRS for current, and any future, service as an elected official that does not exceed 1,044 hours per year.

Local Employer / State Employer

Annual Reporting Account Update Instructions

Directions for employers to report their annual reconciliation through the Account Update Application by manually entering an annual transaction for every WRS-eligible employee at your employer.

ET-1908
Form Local Employer / State Employer

Employer Attestation For Documentation Received

Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.