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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-4337

Form Active Employee / Retiree / Other Benefit Recipient

Wisconsin Tax Withholding Election for WRS Annuity Payments

Use this form to elect Wisconsin state tax withholding for your WRS annuity payment.

ET-2366

Form Active Employee / Local Employer

Income Continuation Insurance Application--Local Employee

Complete and then submit to your employer to apply for income continuation insurance.

ET-2440

Form Active Employee / Local Employer

County Jailer Election of Protective or General Category Status

Local county employers, please distribute this form to your jailers so they can record their decision to be either a general category employee or a protective category employee for WRS benefit purposes.

2017 SB 302 and 2017 AB 403 – Wisconsin Private Retirement Security Board Bill(s)

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Reports and Studies

ETF and other agencies regularly evaluate administered programs and finances.

ET-1145

Manual Local Employer

The Wisconsin Public Employers Income Continuation Insurance Administration Manual

The ICI Program is authorized by Wis. Stat. §§ 40.61 and 40.62, and is administered according to the plan provisions between the Group Insurance Board and the program’s third-party administrator.

Report Active Employee / Retiree / Board Member / Local Employer / State Employer

Duty Disability Program Actuarial Valuation 2020

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2020.

Report Active Employee / Retiree / Board Member / Local Employer / State Employer

Duty Disability Program Actuarial Valuation 2021

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2021.

2021 SB 947 and 2021 AB 974

Creating a 401Kids savings program and the 401Kids savings program trust fund; granting rule-making authority; and making an appropriation.

ET-4814

Form Active Employee / Retiree / Local Employer

Local Employer Verification of Health Insurance Coverage

Local employers, complete to submit verification for an employee's or local-paid retiree's health insurance coverage.