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Active Employee / Retiree / Other Benefit Recipient / Board Member / Local Employer / State Employer

Remarks to the Assembly Committee on Corrections 2017 Assembly Bill 676 (1-9-18)

ET-2339

Form Active Employee / Retiree

Supplemental Insurance Application/Change

For UWs use only, as a paper alternative for a member who cannot complete their supplemental insurance enrollments online.

A soldier holding his two small children, giving the youngest a kiss.

USERRA Military Service Credit

You may received up to five years of creditable service under the Uniformed Services Employment and Reemployment Rights Act of 1994 (USERRA).

ET-1142a

Manual Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer

UWs Member Job Aid: Effective Dates for Qualifying Life Events

For UWs only: This job aid will help employees of the UWs select the correct qualifying life event or change reason in My Insurance Benefits.

Sick Leave Credits FAQs

Find answers to common questions about the Accumulated Sick Leave Credit Conversion Program.

Program Option

State Employee and Retiree Health Plan & Supplemental Benefits

Document Requirements for Life Events and Dependent Verification

Find out which documents are required when adding a spouse or dependent to your insurance or making changes due to a qualified life event. Having the correct paperwork will help ensure a smooth update to your coverage.

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

Life Insurance Enroll and Cost

See the eligibility requirements, enrollment specifications and cost to enroll in or cancel this benefit.

Which Dental Plans Are Available to Me?

The dental plans available to you are determined by whether you are an employee or retiree and who is your current or former employer.

ET-8902

Active Employee / Retiree / Local Employer / State Employer

Group Health Insurance Fact Sheet

The group health insurance program is an employer-sponsored program offering group health coverage to employees of state agencies, UW System, UW Hospital & Clinics Authority and participating local government employers.