Recommended Results
Doctor and patient wearing masks going over papers on a clipboard.

Health & Pharmacy

Information about your health benefits offered through the State of Wisconsin Group Health Insurance Program

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
ET-4943
Brochure Active Employee / Retiree / Other Benefit Recipient

Administrative Appeal Process

This brochure is designed to assist you in understanding the administrative appeals process as it relates to ETF. It is not intended to substitute for the legal advice or assistance of an attorney.

ET-2327
Brochure Active Employee / Retiree / Other Benefit Recipient

Living Benefits

Living Benefits are the proceeds of your life insurance coverage under the Wisconsin Public Employers Group Life Insurance program that are paid to you while you are still living rather than to your beneficiaries after your death.

ET-2321
Form Active Employee / Retiree

Beneficiary Designation - Alternate

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.

ET-8903
Active Employee / Retiree / Local Employer / State Employer

Group Life Insurance Fact Sheet

The Wisconsin Public Employers Group Life Insurance Program is a benefit provided under the WRS and is available to employees of the State of Wisconsin and employees of participating Wisconsin local government employers.

ET-7414
Form Active Employee / Retiree / Other Benefit Recipient

Authorization to Disclose Medical Information

This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.

ET-4938
Form Active Employee / Retiree / Other Benefit Recipient

Appeal Form

Submit this completed form to ETF to appeal a determination regarding your ETF-administered benefit(s).