HDHP Eligibility A few eligibility requirements include: You must be covered by a High Deductible Health Plan (HDHP) and enrolled in the Health Savings Account (HSA) offered by ETF. You cannot have any other health coverage that pays for out-of-pocket health care expenses before you meet your plan deductible (including Medicare). Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2026
HIPAA: Special Enrollment Opportunities 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-1113 Manual Local Employer / State Employer Employer Transaction Application Guide The UW will have access to the Employer Transaction Application (ETA) user interface to update employee demographic and eligibility information, new employee enrollments, and employee terminations.
STAR Employees Enrollment State of Wisconsin, Legislature, and Wisconsin Court System Employees covered by STAR Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2025
STAR Employees Enrollment State of Wisconsin, Legislature, and Wisconsin Court System Employees covered by STAR Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2026
Non-STAR State Employees Enrollment Beyond Vision, Fox River Navigation System Authority, WEDC, WHEDA, WHEFA Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2025
Non-STAR State Employees Enrollment Beyond Vision, Fox River Navigation System Authority, WEDC, WHEDA, WHEFA Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2026
HSA Eligibility There are a number of requirements you must meet in order to be eligible for an HSA. Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2025
HSA Eligibility There are a number of requirements you must meet in order to be eligible for an HSA. Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2026
Notice of Privacy Practices Program Option 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