The Group Insurance Board today examined the cost effectiveness of bariatric surgery and adding coverage of weight-loss drugs in the State of Wisconsin Group Health Insurance Program.
Use the directions on this page to help you complete your application form. The directions will help you to complete an accurate retirement application and avoid mistakes that would cause rejection.
ET-7118a
Active Employee /
Retiree /
Local Employer /
State Employer
The Employee Reimbursement Accounts (ERA) Program is an optional benefit that allows participants to use pre-tax dollars to pay for certain Internal Revenue Service-approved expenses.
Active Employee /
Retiree /
Board Member /
Local Employer /
State Employer
Employees who did not enroll for group life insurance coverage during their initial enrollment period, or insured employees who wish to apply for more insurance for themselves or their spouse or dependents, may apply using this form.
Flyer
Active Employee /
Retiree /
Other Benefit Recipient /
Local Employer /
State Employer
