Health Insurance Employer Forms

Use the forms on this page to administer the Group Health Insurance program. If you are not finding what you need, go to the Publications page to search through all publications.

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.

Income Continuation Insurance for Employers

ICI is a voluntary “income replacement” benefit payable to an enrolled employee if they become disabled. This program is only
offered to employers already participating in the WRS.

Life Insurance for Employers

The Wisconsin Public Employers Group Life Insurance Program is a benefit available to employees of employers who participate in
the WRS or a private pension program.