The annual health benefits open enrollment period is September 25 - October 20, 2023. The annual health benefits open enrollment allows uninsured but eligible employees and retirees to enroll for coverage effective the following January 1.
Follow this checklist to correctly report hours, earnings and contributions to the Wisconsin Retirement System for the Uniformed Services Employment and Reemployment Rights Act of 1994 (USERRA). This checklist is for military service leave after 2011.
It’s Your Choice open enrollment is coming up September 27 - October 22, 2021. The annual health benefits open enrollment period allows uninsured but eligible employees and retirees to enroll for coverage effective the following January 1.
Employers, complete to designate an employee as the agent representing the employer in matters pertaining to the programs administered by the Department of Employee Trust Funds.
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.