A tool for an employer to confirm information was presented to a new employee, due dates identified and appropriate information and forms supplied for all ETF-administered benefits offered by the employer.
Discover what’s included in the 2023 Well Wisconsin program, explore changes to the WebMD One portal, and delve into new resources for creating a culture of well-being across your worksite.
The Well Wisconsin program is available to subscribers and spouses enrolled in the Group Health Insurance Program via a partnership with WebMD. Participants can earn a taxable $150 gift card by completing a health check, health assessment, and well-being activity.
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.
ET-2340
Form
Active Employee /
Local Employer /
State Employer
A tool for an employer to confirm information was presented to a new employee, due dates identified and appropriate information and forms supplied for all ETF-administered benefits offered by the employer.