iPhone and iPad users: The My Benefits portal is temporarily unavailable on your device due to a statewide issue. Please use a computer for now. We apologize for any inconvenience and appreciate your understanding.
A resolution for the employer to offer the Wisconsin Public Employers Group Health Insurance program to eligible personnel through the program of the State of Wisconsin Group Insurance Board, and agrees to abide by the terms of the program.
ET-4560
Form
Active Employee /
Local Employer /
State Employer
Once an employee returns to work with his or her pre-military leave of absence employer, the employer is required to submit this form along with a copy of the appropriate military paperwork.
Employers may be required to report prior year adjustments to employee hours, earnings or employee-paid required contributions by completing and submitting this report.
This plan document provides provisions on the Commuter Fringe Benefits Accounts, such as plan administration, eligibility, participation, and termination.
ETF has offered employer training in preparation for the launch of My Insurance Benefits. This document contains responses to the questions from the employer training sessions.
For UWs only: This guide demonstrates procedures to help support the HR administrative duties within My Insurance Benefits and covers a variety of scenarios, such as enrollment, task management, and document management.