You and/or your insured dependents must be enrolled for both portions of Medicare (Hospital Part A and Medical Part B), when first eligible. Provide this information to ETF using this form.
The No Surprises Act (the Act) is a part of the Consolidated Appropriations Act of 2021 (CAA). The CAA was passed by the U.S. Congress in December of 2020. The Act portion of the legislation addresses surprise medical billing by healthcare providers and other member protections. Learn more about the No Surprises Act and its developing guidelines.
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
Well Wisconsin is here to provide flu vaccine clinics at your location this fall. In addition, you'll find the latest information on resources and activities to promote in July, including Daily Habits and Chronic Condition Management, and the July Kindness at Work calendar activities focusing on human connection.
Spring ahead they say. Yet, do you feel like you’re dragging behind after losing an hour of sleep? The National Sleep Foundation uses this week to provide education on the connection between sleep and your health and well-being.
Promote the October 13 Well Wisconsin incentive deadline, and give your employees access to stress management resources and information on a new upcoming webinar on advanced care planning.
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.
